WorldWideScience

Sample records for birth order modifies

  1. Narcissism and birth order.

    Science.gov (United States)

    Eyring, W E; Sobelman, S

    1996-04-01

    The purpose of this investigation was to clarify the relationship between birth-order position and the development of narcissism, while refining research and theory. The relationship between birth-order status and narcissism was examined with a sample of 79 undergraduate students (55 women and 24 men). These subjects were placed in one of the four following birth-order categories of firstborn, second-born, last-born, and only children. These categories were chosen given their significance in Adlerian theory. Each subject completed the Narcissistic Personality Inventory and a demographic inventory. Based on psychodynamic theory, it was hypothesized that firstborn children were expected to score highest, but statistical significance was not found for an association between narcissism and birth order. Further research is urged to investigate personality theory as it relates to parenting style and birth order.

  2. The Birth Order Puzzle.

    Science.gov (United States)

    Zajonc, R. B.; And Others

    1979-01-01

    Discusses the controversy of the relationship between birth order and intellectual performance through a detailed evaluation of the confluence model which assumes that the rate of intellectual growth is a function of the intellectual environment within the family and associated with the special circumstances of last children. (CM)

  3. Methodology, Birth Order, Intelligence, and Personality.

    Science.gov (United States)

    Michalski, Richard L.; Shackelford, Todd K.

    2001-01-01

    Critiques recent research on the effects of birth order on intelligence and personality, which found that the between-family design revealed that birth order negatively related to intelligence, while the within-family design revealed that birth order was unrelated to intelligence. Suggests that it may not be intelligence that co-varies with birth…

  4. Birth order, family size and educational attainment

    NARCIS (Netherlands)

    de Haan, M.

    2010-01-01

    This paper investigates the effect of family size and birth order on educational attainment. An instrumental variables approach is used to identify the effect of family size. Instruments for the number of children are twins at last birth and the sex mix of the first two children. The effect of birth

  5. Intelligence, birth order, and family size.

    Science.gov (United States)

    Kanazawa, Satoshi

    2012-09-01

    The analysis of the National Child Development Study in the United Kingdom (n = 17,419) replicates some earlier findings and shows that genuine within-family data are not necessary to make the apparent birth-order effect on intelligence disappear. Birth order is not associated with intelligence in between-family data once the number of siblings is statistically controlled. The analyses support the admixture hypothesis, which avers that the apparent birth-order effect on intelligence is an artifact of family size, and cast doubt on the confluence and resource dilution models, both of which claim that birth order has a causal influence on children's cognitive development. The analyses suggest that birth order has no genuine causal effect on general intelligence.

  6. Ordered delinquency: the "effects" of birth order on delinquency.

    Science.gov (United States)

    Cundiff, Patrick R

    2013-08-01

    Juvenile delinquency has long been associated with birth order in popular culture. While images of the middle child acting out for attention or the rebellious youngest child readily spring to mind, little research has attempted to explain why. Drawing from Adlerian birth order theory and Sulloway's born-to-rebel hypothesis, I examine the relationship between birth order and a variety of delinquent outcomes during adolescence. Following some recent research on birth order and intelligence, I use new methods that allow for the examination of between-individual and within-family differences to better address the potential spurious relationship. My findings suggest that contrary to popular belief, the relationship between birth order and delinquency is spurious. Specifically, I find that birth order effects on delinquency are spurious and largely products of the analytic methods used in previous tests of the relationship. The implications of this finding are discussed.

  7. Birth order modifies the effect of IL13 gene polymorphisms on serum IgE at age 10 and skin prick test at ages 4, 10 and 18: a prospective birth cohort study

    Directory of Open Access Journals (Sweden)

    Ogbuanu Ikechukwu U

    2010-04-01

    Full Text Available Abstract Background Susceptibility to atopy originates from effects of the environment on genes. Birth order has been identified as a risk factor for atopy and evidence for some candidate genes has been accumulated; however no study has yet assessed a birth order-gene interaction. Objective To investigate the interaction of IL13 polymorphisms with birth order on allergic sensitization at ages 4, 10 and 18 years. Methods Mother-infant dyads were recruited antenatally and followed prospectively to age 18 years. Questionnaire data (at birth, age 4, 10, 18; skin prick test (SPT at ages 4, 10, 18; total serum IgE and specific inhalant screen at age 10; and genotyping for IL13 were collected. Three SNPs were selected from IL13: rs20541 (exon 4, nonsynonymous SNP, rs1800925 (promoter region and rs2066960 (intron 1. Analysis included multivariable log-linear regression analyses using repeated measurements to estimate prevalence ratios (PRs. Results Of the 1456 participants, birth order information was available for 83.2% (1212/1456; SPT was performed on 67.4% at age 4, 71.2% at age 10 and 58.0% at age 18. The prevalence of atopy (sensitization to one or more food or aeroallergens increased from 19.7% at age 4, to 26.7% at 10 and 41.1% at age 18. Repeated measurement analysis indicated interaction between rs20541 and birth order on SPT. The stratified analyses demonstrated that the effect of IL13 on SPT was restricted only to first-born children (p = 0.007; adjusted PR = 1.35; 95%CI = 1.09, 1.69. Similar findings were noted for firstborns regarding elevated total serum IgE at age 10 (p = 0.007; PR = 1.73; 1.16, 2.57 and specific inhalant screen (p = 0.034; PR = 1.48; 1.03, 2.13. Conclusions This is the first study to show an interaction between birth order and IL13 polymorphisms on allergic sensitization. Future functional genetic research need to determine whether or not birth order is related to altered expression and methylation of the IL13 gene.

  8. Pedophilia, sexual orientation, and birth order.

    Science.gov (United States)

    Bogaert, A F; Bezeau, S; Kuban, M; Blanchard, R

    1997-05-01

    This study extended research on birth order and erotic preferences by examining birth order in a sample of pedophiles. Charts of 338 pedophiles, assessed from 1980-1994 in the Behavioural Sexology Department of the Clarke Institute of Psychiatry in Toronto, were reviewed for family-demographic information. In total, 170 (57 heterosexual pedophiles, 68 homosexual pedophiles, and 45 bisexual pedophiles) of these men had sufficient sibling information to be included in the analyses. The results indicated that homosexual-bisexual pedophiles had a later birth order than heterosexual pedophiles and that this effect was primarily the result of the homosexual-bisexual group being born later among their brothers. The results extend previous findings that homosexual men, regardless of sample composition, have a later birth order than comparable groups of heterosexual men. The results also challenge some existing theories on the nature and origins of pedophilia.

  9. Birth Order and Marital Bliss in Israel

    Science.gov (United States)

    Weller, Leonard; And Others

    1974-01-01

    This study offers a rank order of successful marriages, according to birth order in Israel. The results of two studies show that marriage consisting of a first born and a later born are more successful than marriages composed of two first borns or two later borns. (Author/PC)

  10. Sibship size, birth order, and personality.

    Science.gov (United States)

    Abdel-Khalek, Ahmed; Lester, David

    2005-10-01

    In a sample of 273 American college students who were administered seven personality tests, only death obsession scores were consistently associated with sibship size and birth order (not optimism, pessimism, anxiety, a Taoist orientation, suicidal ideation, or obsessive-compulsive tendencies).

  11. Birth Order Positions and Personality Traits.

    Science.gov (United States)

    Tharbe, Ida Hartini Ahmad; Harun, Lily Mastura Hj.

    The growing concern for the development of teenagers has brought up issues regarding the role of the family system in shaping the personality traits of children. Alfred Adler (1870-1937), an Austrian psychiatrist who introduced the psychological/therapeutic model, "Individual Psychology," highlighted the importance of birth order positions in…

  12. Birth order, family size and school failure.

    Science.gov (United States)

    Belmont, L; Stein, Z A; Wittes, J T

    1976-08-01

    The effect of birth order on educational outcome in the Netherlands is reported for two major social classes, manual and non-manual. The rates of school failure (those who attended schools for the mentally retarded and who failed lower school) were studied in a population of some 200,000 young adult Dutch males born between 1944 and 1946 and whose families of origin had from one to six children. The data used were the records of the Dutch military pre-induction examination. Rates of school failure rose both with increased birth order and with increased family-size, with the exception of one-child families. School failure rates for the first, middle-and last-born were examined for the two social classes, with family size controlled. In general, school-failure rates were significantly related to birth-order position. For each family size and in both social classes, the last-born were at greater risk of school failure than were the first-born.

  13. Birth order and neural tube defects: a reappraisal.

    Science.gov (United States)

    Vieira, Alexandre R

    2004-01-15

    There is evidence that late birth order is associated with some complex disorders. For neural tube defects (NTDs) there is no consensus as to whether first or increased birth order is associated or not. A meta-analysis of published data on NTDs was carried out to ascertain whether there is an increased risk for children first born or of high birth order to have NTDs. All data available with information regarding the frequency of live births and NTDs cases by birth order (1, 2, 3, and 4 or more) were included in the analysis. Effect sizes calculations were performed. Children with higher birth order are more likely to have spina bifida but not anencephaly. This same effect was also seen for all NTDs combined, which probably reflects the association with spina bifida. These results suggest the compilation of anencephaly and spina bifida data can be the explanation for the controversies seen in the literature.

  14. Birth Order and Maladaptive Behavior in School-Aged Children.

    Science.gov (United States)

    Carmichael, Karla D.

    Drawing on Alfred Adler's theories on the effect of birth order on maladaptive behavior in children, this study focused on the relationship between birth order and the referral to counseling of school-aged children with maladaptive disorder. School-aged children (N=217) with academic or behavioral problems, ages 5 to 18, were referred to the staff…

  15. Birth order and human capital development: evidence from Ecuador

    NARCIS (Netherlands)

    de Haan, M.; Plug, E.; Rosero, J.

    2014-01-01

    In this paper we examine the effect of birth order on human capital development in Ecuador. Using family fixed effects models we find positive and persistent birth order effects; earlier-born children stay behind in their human capital development from infancy to adolescence. Turning to potential me

  16. What Research Shows About Birth Order, Personality, and IQ.

    Science.gov (United States)

    Yahraes, Herbert

    This brief report summarizes the findings and conclusions of studies concerning the relation between birth order and various aspects of personality and intellectual development. Major topics discussed are the relation between birth order of the child and: (1) the effects of sex and spacing between siblings on personality characteristics of the…

  17. Brief Report: Asperger's Syndrome and Sibling Birth Order

    Science.gov (United States)

    Schmidt, Karmen; Zimmerman, Andrew; Bauman, Margaret; Ferrone, Christine; Venter, Jacob; Spybrook, Jessaca; Henry, Charles

    2013-01-01

    Prior investigations suggest that birth order position may be associated with the risk for developing a pervasive developmental disorder. This retrospective chart review examined the birth order status of 29 psychiatrically-referred patients with Asperger's Syndrome (AS). Eighty-six percent of the subjects were first born. The finding was…

  18. Epilepsia e ordem de nascimento Epilepsy and birth order

    Directory of Open Access Journals (Sweden)

    Paulo Cesar Sandler

    1975-09-01

    Full Text Available Mediante o método de Greenwood-Yule e o teste estatístico mais sensível de que se dispõe atualmente, o x² de Halperin, foi testada a possível associação entre a prevalência de epilepsia e a ordem de nascimento de 238 pacientes. Estes pacientes foram obtidos em dois hospitais de São Paulo, na tentativa de se controlar sua classe social; tratava-se de epilépticos com variados transtornos psiquiátricos. Concluiu-se por uma associação estatisticamente significante entre a doença e a ordem de nascimento dos 238 pacientes, com uma sobre-representação nos primeiros e nos últimos nascidos.This paper deals with birth order and epilepsy. The Greenwood-Yule's method was applied, with the most powerful statistical test available, Halperin's modified chi-square. The authors concluded that there is a consistent positive association between this illness prevalence and birth order of the patients, being first and last born over-represented, irrespective of their sibship size. The data were obtained in two psychiatric hospitals in the city of São Paulo, being social class factor qualitatively controlled. All the 238 patients studied suffered a wide range of psychiatric symptoms.

  19. Examining the effects of birth order on personality.

    Science.gov (United States)

    Rohrer, Julia M; Egloff, Boris; Schmukle, Stefan C

    2015-11-17

    This study examined the long-standing question of whether a person's position among siblings has a lasting impact on that person's life course. Empirical research on the relation between birth order and intelligence has convincingly documented that performances on psychometric intelligence tests decline slightly from firstborns to later-borns. By contrast, the search for birth-order effects on personality has not yet resulted in conclusive findings. We used data from three large national panels from the United States (n = 5,240), Great Britain (n = 4,489), and Germany (n = 10,457) to resolve this open research question. This database allowed us to identify even very small effects of birth order on personality with sufficiently high statistical power and to investigate whether effects emerge across different samples. We furthermore used two different analytical strategies by comparing siblings with different birth-order positions (i) within the same family (within-family design) and (ii) between different families (between-family design). In our analyses, we confirmed the expected birth-order effect on intelligence. We also observed a significant decline of a 10th of a SD in self-reported intellect with increasing birth-order position, and this effect persisted after controlling for objectively measured intelligence. Most important, however, we consistently found no birth-order effects on extraversion, emotional stability, agreeableness, conscientiousness, or imagination. On the basis of the high statistical power and the consistent results across samples and analytical designs, we must conclude that birth order does not have a lasting effect on broad personality traits outside of the intellectual domain.

  20. Birth order and selected work-related personality variables.

    Science.gov (United States)

    Phillips, A S; Bedeian, A G; Mossholder, K W; Touliatos, J

    1988-12-01

    A possible link between birth order and various individual characteristics (e. g., intelligence, potential eminence, need for achievement, sociability) has been suggested by personality theorists such as Adler for over a century. The present study examines whether birth order is associated with selected personality variables that may be related to various work outcomes. 3 of 7 hypotheses were supported and the effect sizes for these were small. Firstborns scored significantly higher than later borns on measures of dominance, good impression, and achievement via conformity. No differences between firstborns and later borns were found in managerial potential, work orientation, achievement via independence, and sociability. The study's sample consisted of 835 public, government, and industrial accountants responding to a national US survey of accounting professionals. The nature of the sample may have been partially responsible for the results obtained. Its homogeneity may have caused any birth order effects to wash out. It can be argued that successful membership in the accountancy profession requires internalization of a set of prescribed rules and standards. It may be that accountants as a group are locked in to a behavioral framework. Any differentiation would result from spurious interpersonal differences, not from predictable birth-order related characteristics. A final interpretation is that birth order effects are nonexistent or statistical artifacts. Given the present data and particularistic sample, however, the authors have insufficient information from which to draw such a conclusion.

  1. Caesarean birth: consumption, safety, order, and good mothering.

    Science.gov (United States)

    Bryant, Joanne; Porter, Maree; Tracy, Sally K; Sullivan, Elizabeth A

    2007-09-01

    This article draws on qualitative data to explore the beliefs through which decisions about caesarean birth are made and to consider how these might contribute to the increasing rate of caesarean birth. A total of 36 interviews were conducted in Australia, including 12 hospital-based midwives, 6 obstetricians, and 18 women who had experienced caesarean birth within the 2 years prior to the research interview. Data reveal a belief derived from the pervasive discourse of neo-liberalism that women are self-governing autonomous subjects in their birth experience, with entitlement to the consumption of birthing information and services, as guided by obstetricians. Feeding into this belief are coexisting discourses that serve to organise 'free choice' in terms of safe/unsafe, order/disorder, life/death; and with ontological meanings, by structuring women's mothering identities as good/bad. The neo-liberal obligation to manage risk and pursue success for both mothers and babies means that women (and others) are obliged to choose what is set up as the most obvious and sensible option: safe, ordered caesareans. The structuring of discourses in this way shows how caesareans can be positioned as a preferential means of birth.

  2. Fraternal birth order and sexual orientation in pedophiles.

    Science.gov (United States)

    Blanchard, R; Barbaree, H E; Bogaert, A F; Dickey, R; Klassen, P; Kuban, M E; Zucker, K J

    2000-10-01

    Whether homosexual pedophiles have more older brothers (a higher fraternal birth order) than do heterosexual pedophiles was investigated. Subjects were 260 sex offenders (against children age 14 or younger) and 260 matched volunteer controls. The subject's relative attraction to male and female children was assessed by phallometric testing in one analysis, and by his offense history in another. Both methods showed that fraternal birth order correlates with homosexuality in pedophiles, just as it does in men attracted to physically mature partners. Results suggest that fraternal birth order (or the underlying variable it represents) may prove the first identified universal factor in homosexual development. Results also argue against a previous explanation of the high prevalence of homosexuality in pedophiles (25% in this study), namely, that the factors that determine sexual preference in pedophiles are different from those that determine sexual preference in men attracted to adults. An alternative explanation in terms of canalization of development is suggested.

  3. Earliest Recollections and Birth Order: Two Adlerian Exercises.

    Science.gov (United States)

    Parrott, Les

    1992-01-01

    Presents two exercises designed to demonstrate the influence of two Adlerian principles on personality. Includes exercises dealing with birth order and earliest recollection. Concludes that the exercises actively demonstrate major concepts for counseling courses in Adlerian psychotherapy. Reports that students rated both exercises highly, with…

  4. Birth Order, Sibling IQ Differences, and Family Relations.

    Science.gov (United States)

    Pfouts, Jane H.

    The differential impact of birth order and IQ on sibling roles were examined with particular interest focused on achievement outcomes. Subjects were a stratified sample of 37 pairs of near-in-age siblings, all within the normal range in personality and IQ, but differing significantly in scores on the Slosson IQ Test. Results indicate that when the…

  5. Twin's Birth-Order Differences in Height and Body Mass Index From Birth to Old Age

    DEFF Research Database (Denmark)

    Yokoyama, Yoshie; Jelenkovic, Aline; Sund, Reijo

    2016-01-01

    We analyzed birth order differences in means and variances of height and body mass index (BMI) in monozygotic (MZ) and dizygotic (DZ) twins from infancy to old age. The data were derived from the international CODATwins database. The total number of height and BMI measures from 0.5 to 79.5 years ...

  6. Modified Order Crossover (OX Operator

    Directory of Open Access Journals (Sweden)

    Ms. Monica Sehrawat,

    2011-05-01

    Full Text Available In this work Traveling salesperson problem is taken as Domain. TSP has long been known to be NP-complete and is a standard example of such problems. Genetic Algorithm (GA is an approximate algorithmthat doesn’t always aim to find the shortest tour but to find a reasonably short tour quickly, which is a search procedure inspired by the mechanisms of biological evolution. In genetic algorithms, crossovers are used as a main search operator for TSP. Briefly speaking: the role of crossovers is to generate offspring that are better tours by preserving partial tours from the parents. There were a lot attempts to discover an appropriate crossover operator. This paper presents the strategy which used to find the nearly optimized solution to these type of problems. It is the order crossover operator (OX which was proposed by Davis, which constructs an offspring by choosing a subsequence of one parent and preserving the relative order of cities of the other parent.

  7. Birth order and communication skills of pharmacy students.

    Science.gov (United States)

    Murawski, M M; Miederhoff, P; Rule, W

    1995-06-01

    Pharmacy educators are training graduates in a concept of practice called pharmaceutical care. The movement towards patient care requires consideration of the personal and social qualities of trainees. All individuals attracted to pharmacy may not desire involvement in patient care. This preliminary study of pharmacy students of the relationships among birth order, empathy, and assertiveness behaviors using the Interpersonal Communication Inventory showed the incidence of firstborn students in this sample was not significantly higher than in the general population but the incidence of those born second was significantly lower. Regression analysis of individual items gave significant correlations between birth order and three items on the inventory. While few conclusions can be drawn, a clear direction for further research is indicated.

  8. Sibship size, birth order, and personality among Kuwaiti college students.

    Science.gov (United States)

    Abdel-Khalek, Ahmed M; Lester, David

    2007-08-01

    In a sample of 460 (103 men, 357 women) Kuwaiti college students (M age=21.9 yr., SD=3.0), scores on the Arabic Scale of Optimism and Pessimism, the Death Obsession Scale, the Arabic Scale of Obsession-Compulsion, the Kuwait University Anxiety Scale, the Taoist Orientation Scale, and the Suicidal Ideation Scale were not associated with sibship size and birth order.

  9. A birth-weight questionnaire indicated that life style modifies the birth weight and metabolic syndrome relationship at age 36

    NARCIS (Netherlands)

    Velde, S.J. te; Twisk, J.W.R.; Mechelen, van W.; Kemper, H.C.G.

    2005-01-01

    OBJECTIVE: Investigating the relationship between birth weight and the metabolic syndrome and the modifying effects of lifestyle in adults (36.5 years). STUDY DESIGN AND SETTING: 273 subjects completed a birth-weight questionnaire; waist circumference, HDL and triglyceride concentrations, blood pres

  10. Appraising Birth Order in Career Assessment: Linkages to Holland's and Super's Models.

    Science.gov (United States)

    Leong, Frederick T. L.; Hartung, Paul J.; Goh, David; Gaylor, Michael

    2001-01-01

    Study 1 (n=159) found significant differences in vocational personality types, interests, and values depending on birth order. Study 2 (n=119) found significant differences in occupational interests by birth order. Both results support Alfred Adler's theory that birth order determines aspects of vocational behavior. (Contains 33 references.) (SK)

  11. A Review of the Evidence for Birth Order Differences in Anxiety and Affiliation in Stressful Situations.

    Science.gov (United States)

    Kushnir, T.

    1978-01-01

    Reviews literature on birth order. An important conclusion is that birth order differences in anxiety level and affiliation are not generalized phenomena. Consistent birth order differences in both variables are found only among females. Firstborns are not habitually more anxious than laterborns and are not generally more affiliative than…

  12. Birth Order and Sibling Sex Ratio of Children and Adolescents Referred to a Gender Identity Service

    OpenAIRE

    Doug P Vanderlaan; Ray Blanchard; Hayley Wood; Kenneth J Zucker

    2014-01-01

    In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect). In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibl...

  13. Birth order and its association with the onset of chronic fatigue syndrome.

    Science.gov (United States)

    Brimacombe, Michael; Helmer, Drew A; Natelson, Benjamin H

    2002-08-01

    Chronic fatigue syndrome (CFS) is a medically unexplained illness that is diagnosed on the basis of a clinical case definition; so it probably is an illness with multiple causes producing the same clinical picture. One way of dealing with this heterogeneity is to stratify patients based on illness onset. We hypothesized that either the whole group of CFS patients or that group which developed CFS gradually would show a relation with birth order, while patients who developed CFS suddenly, probably due to a viral illness, would not show such a relation. We hypothesized the birth order effect in the gradual onset group because those patients have more psychological problems, and birth order effects have been shown for psychological characteristics. We compared birth order in our CFS patients to that in a comparison group derived from U.S. demographic data. We found a tendency that did not reach formal statistical significance for a birth order effect in the gradual onset group, but not in either the sudden onset or combined total group. However, the birth order effect we found was due to relatively increased rates of CFS in second-born children; prior birth order studies of personality characteristics have found such effects to be skewed toward first-born children. Thus, our data do support a birth order effect in a subset of patients with CFS. The results of this study should encourage a larger multicenter study to further explore and understand this relation.

  14. The New Birth Order Book: Why You Are the Way You Are. Revised Edition.

    Science.gov (United States)

    Leman, Kevin

    Based on the premise that birth order powerfully influences one's personality, one's marital partner, and one's parenting style, this book presents personal anecdotes, testimonials, and descriptions of well-known individuals or individuals seen in counseling to illustrate the impact of birth order. The book also presents practical ways to take…

  15. The confluence model: birth order as a within-family or between-family dynamic?

    Science.gov (United States)

    Zajonc, R B; Sulloway, Frank J

    2007-09-01

    The confluence model explains birth-order differences in intellectual performance by quantifying the changing dynamics within the family. Wichman, Rodgers, and MacCallum (2006) claimed that these differences are a between-family phenomenon--and hence are not directly related to birth order itself. The study design and analyses presented by Wichman et al. nevertheless suffer from crucial shortcomings, including their use of unfocused tests, which cause statistically significant trends to be overlooked. In addition, Wichman et al. treated birth-order effects as a linear phenomenon thereby ignoring the confluence model's prediction that these two samples may manifest opposing results based on age. This article cites between- and within-family data that demonstrate systematic birth-order effects as predicted by the confluence model. The corpus of evidence invoked here offers strong support for the assumption of the confluence model that birth-order differences in intellectual performance are primarily a within-family phenomenon.

  16. Review and theory of handedness, birth order, and homosexuality in men.

    Science.gov (United States)

    Blanchard, Ray

    2008-01-01

    Research has repeatedly shown that older brothers increase the odds of homosexuality in later-born males. This phenomenon has been called the fraternal birth order effect. The most highly developed explanation of this phenomenon is the maternal immune hypothesis, which proposes that the fraternal birth order effect reflects the progressive immunisation of some mothers to male-specific antigens by each succeeding male foetus and the concomitantly increasing effects of anti-male antibodies on the sexual differentiation of the brain in each succeeding male foetus. Recent studies indicate that older brothers increase the odds of homosexuality in right-handed males but not in non-right-handed males. The present article explores how the maternal immune hypothesis might be extended or modified to account for the apparent interaction of older brothers and handedness. Two possibilities are considered: (1) non-right-handed foetuses are insensitive to the presence of maternal anti-male antibodies, and (2) mothers of non-right-handed foetuses do not produce anti-male antibodies.

  17. Gender Nonconformity and Birth Order in Relation to Anal Sex Role Among Gay Men.

    Science.gov (United States)

    Swift-Gallant, Ashlyn; Coome, Lindsay A; Monks, D Ashley; VanderLaan, Doug P

    2017-04-04

    Androphilia is associated with an elevated number of older brothers among natal males. This association, termed the fraternal birth order effect, has been observed among gay men who exhibit marked gender nonconformity. Gender nonconformity has been linked to gay men's preferred anal sex role. The present study investigated whether these two lines of research intersect by addressing whether the fraternal birth order effect was associated with both gender nonconformity and a receptive anal sex role (243 gay men, 91 heterosexual men). Consistent with previous research, we identified the fraternal birth order effect in our sample of gay men. Also, gay men were significantly more gender-nonconforming on adulthood and recalled childhood measures compared to heterosexual men. When gay men were compared based on anal sex role (i.e., top, versatile, bottom), all groups showed significantly greater recalled childhood and adult male gender nonconformity than heterosexual men, but bottoms were most nonconforming. Only gay men with a bottom anal sex role showed evidence of a fraternal birth order effect. A sororal birth order effect was found in our sample of gay men, driven by versatiles. No significant associations were found between fraternal birth order and gender nonconformity measures. These results suggest that the fraternal birth order effect may apply to a subset of gay men who have a bottom anal sex role preference and that this subgroup is more gender-nonconforming. However, there were no significant associations between fraternal birth order and gender nonconformity at the individual level. As such, based on the present study, whether processes underpinning the fraternal birth order effect influence gender nonconformity is equivocal.

  18. Subjectivization, Identification, And Act: Birth, Submission, And Re-Birth of Subjects in A Symbolic Order

    OpenAIRE

    Abdol Hossein Joodaki

    2014-01-01

    This study has taken into consideration Zizek views on the notion of fantasy and its function in controlling thoughts and influencing the public. All of contemplations on subject and its position in society are significant, but Zizeks is a different one. To elaborate this notion more closely this study focuses on the birth and death of subjects in Zizekian perspective. Fantasy plays an important role in symbolic submission and identification. It provides the context for internalization of cul...

  19. Birth order has no effect on intelligence: a reply and extension of previous findings.

    Science.gov (United States)

    Wichman, Aaron L; Rodgers, Joseph Lee; Maccallum, Robert C

    2007-09-01

    We address points raised by Zajonc and Sulloway, who reject findings showing that birth order has no effect on intelligence. Many objections to findings of null birth-order results seem to stem from a misunderstanding of the difference between study designs where birth order is confounded with true causal influences on intelligence across families and designs that control for some of these influences. We discuss some of the consequences of not appreciating the nature of this difference. When between-family confounds are controlled using appropriate study designs and techniques such as multilevel modeling, birth order is shown not to influence intelligence. We conclude with an empirical investigation of the replicability and generalizability of this approach.

  20. New birth weight reference standards customised to birth order and sex of babies from South India

    Directory of Open Access Journals (Sweden)

    Kumar Velusamy Saravana

    2013-02-01

    Full Text Available Abstract Background The foetal growth standards for Indian children which are available today suffer due to methodological problems. These are, for example, not adhering to the WHO recommendation to base gestational age on the number of completed weeks and secondly, not excluding mothers with risk factors. This study has addressed both the above issues and in addition provides birthweight reference ranges with regard to sex of the baby and maternal parity. Methods Data from the labour room register from 1996 to 2010 was obtained. A rotational sampling scheme was used i.e. the 12 months of the year were divided into 4 quadrants. All deliveries in January were considered to represent the first quadrant. Similarly all deliveries in April, July and October were considered to represent 2nd, 3rd and 4th quadrants. In each successive year different months were included in each quadrant. Only those mothers aged 20–39 years and delivered between 24 to 42 weeks gestational age were considered. Those mothers with obstetric risk factors were excluded. The reference standards were fitted using the Generalized Additive Models for Location Scale and Shape (GAMLSS method for Box – Cox t distribution with cubic spline smoothing. Results There were 41,055 deliveries considered. When women with risk factors were excluded 19,501 deliveries could be included in the final analysis. The male babies of term firstborn were found to be 45 g heavier than female babies. The mean birthweights were 2934 g and 2889.5 g respectively. Similarly, among the preterm babies, the first born male babies weighed 152 g more than the female babies. The mean birthweights were 1996 g and 1844 g respectively. In the case of later born babies, the term male babies weighed 116grams more than the females. The mean birth weights were 3085 grams and 2969 grams respectively. When considering later born preterm babies, the males outweighed the female babies by 111 grams. The

  1. The influence of birth order and number of siblings on adolescent body composition: evidence from a Brazilian birth cohort study.

    Science.gov (United States)

    de Oliveira Meller, Fernanda; Assunção, M C F; Schäfer, A A; de Mola, C L; Barros, A J D; Dahly, D L; Barros, F C

    2015-07-14

    The aim of this study was to estimate the association between birth order and number of siblings with body composition in adolescents. Data are from a birth cohort study conducted in Pelotas, Brazil. At the age of 18 years, 4563 adolescents were located, of whom 4106 were interviewed (follow-up rate 81.3 %). Of these, 3974 had complete data and were thus included in our analysis. The variables used in the analysis were measured during the perinatal period, or at 11, 15 and/or 18 years of age. Body composition at 18 years was collected by air displacement plethysmography (BOD POD®). Crude and adjusted analyses of the association between birth order and number of siblings with body composition were performed using linear regression. All analyses were stratified by the adolescent sex. The means of BMI, fat mass index and fat-free mass index among adolescents were 23.4 (sd 4.5) kg/m², 6.1 (sd 3.9) kg/m² and 17.3 (sd 2.5) kg/m², respectively. In adjusted models, the total siblings remained inversely associated with fat mass index (β = - 0.37 z-scores, 95 % CI - 0.52, - 0.23) and BMI in boys (β = - 0.39 z-scores, 95 % CI - 0.55, - 0.22). Fat-free mass index was related to the total siblings in girls (β = 0.06 z-scores, 95 % CI - 0.04, 0.17). This research has found that number of total siblings, and not birth order, is related to the fat mass index, fat-free mass index and BMI in adolescents. It suggests the need for early prevention of obesity or fat mass accumulation in only children.

  2. The Relationship of Birth Order and Gender with Academic Standing and Substance Use Among Youth in Latin America.

    Science.gov (United States)

    Horner, Pilar; Andrade, Fernando; Delva, Jorge; Grogan-Kaylor, Andy; Castillo, Marcela

    2012-01-01

    Alfred Adler attempted to understand how family affects youth outcomes by considering the order of when a child enters a family (Adler, 1964). Adler's theory posits that birth order formation impacts individuals. We tested Adler's birth order theory using data from a cross-sectional survey of 946 Chilean youths. We examined how birth order and gender are associated with drug use and educational outcomes using three different birth order research models including: (1) Expedient Research, (2) Adler's birth order position, and (3) Family Size theoretical models. Analyses were conducted with structural equation modeling (SEM). We conclude that birth order has an important relationship with substance use outcomes for youth but has differing effects for educational achievement across both birth order status and gender.

  3. Does time since immigration modify neighborhood deprivation gradients in preterm birth? A multilevel analysis.

    Science.gov (United States)

    Urquia, Marcelo Luis; Frank, John William; Moineddin, Rahim; Glazier, Richard Henry

    2011-10-01

    Immigrants' health is jointly influenced by their pre- and post-migration exposures, but how these two influences operate with increasing duration of residence has not been well-researched. We aimed to examine how the influence of maternal country of birth and neighborhood deprivation effects, if any, change over time since migration and how neighborhood effects among immigrants compare with those observed in the Canadian-born population. Birth data from Ontario hospital records (2002-2007) were linked with an official Canadian immigration database (1985-2000). The outcome measure was preterm birth. Neighborhoods were ranked according to a neighborhood deprivation index developed for Canadian urban areas and collapsed into tertiles of approximately equal size. Time since immigration was measured from the date of arrival to Canada to the date of delivery, ranging from 1 to 22 years. We used cross-classified random effect models to simultaneously account for the membership of births (N = 83,233) to urban neighborhoods (N = 1,801) and maternal countries of birth (N = 168). There were no differences in preterm birth between neighborhood deprivation tertiles among immigrants with less than 15 years of residence. Among immigrants with 15 years of stay or more, the adjusted absolute risk difference (ARD%, 95% confidence interval) between high-deprived (tertile 3) and low-deprived (tertile 1) neighborhoods was 1.86 (0.68, 2.98), while the ARD% observed among the Canadian-born (N = 314,237) was 1.34 (1.11, 1.57). Time since migration modifies the neighborhood deprivation gradient in preterm birth among immigrants living in Ontario cities. Immigrants reached the level of inequalities in preterm birth observed at the neighborhood level among the Canadian-born after 14 years of stay, but neighborhoods did not influence preterm birth among more recent immigrants, for whom the maternal country of birth was more predictive of preterm birth.

  4. METABOLIC AND BEHAVIORAL PARAMETERS IN NEWBORN PIGLETS IN RELATION TO BIRTH ORDER

    Directory of Open Access Journals (Sweden)

    H. SĂRĂNDAN

    2013-12-01

    Full Text Available The experiment had 2 phases:During the first phase 19 sows were monitored during farrowing; the piglets were numbered according to birth order, they were weighed and there were recorded the time each piglet was born and when it first suckled. There was calculated the time from the beginning of the farrowing until the time each piglet was born (TNPP and the time from birth until the first suckle (TPS. A statistical correlation was established between these parameters.During the second experimental phase, for 49 piglets from 5 sows were determined: birth weight, TPS, glycemia at birth (G0 and after the first suckle (G1, rectal temperature at birth (T0 and after the first suckles (T1. This data was statistically analyzed using the Mann-Whitney U test.Respecting the birth order, TPS is shorter for piglets born last (p<0.05. Average TPS was 23.04±2.49 minutes; during this time glycemia rises from 58.35 mg% to 64.35 mg% and rectal temperature drops from 38.58°C to 37.35°C. T0 is positively correlated with G0 (p<0.01 with G1 (p<0.01 and T1 (p<0.01. G0 is highly correlated to G1 (r=0.8855; p=0.

  5. A multilevel approach to the relationship between birth order and intelligence.

    Science.gov (United States)

    Wichman, Aaron L; Rodgers, Joseph Lee; MacCallum, Robert C

    2006-01-01

    Many studies show relationships between birth order and intelligence but use cross-sectional designs or manifest other threats to internal validity. Multilevel analyses with a control variable show that when these threats are removed, two major results emerge: (a) birth order has no significant influence on children's intelligence and (b) earlier reported birth order effects on intelligence are attributable to factors that vary between, not within, families. Analyses on 7- to 8 - and 13- to 14-year-old children from the National Longitudinal Survey of Youth support these conclusions. When hierarchical data structures, age variance of children, and within-family versus between-family variance sources are taken into account, previous research is seen in a new light.

  6. Birth order and childhood type 1 diabetes risk: a pooled analysis of 31 observational studies

    DEFF Research Database (Denmark)

    Cardwell, Chris R; Stene, Lars C; Joner, Geir;

    2011-01-01

    The incidence rates of childhood onset type 1 diabetes are almost universally increasing across the globe but the aetiology of the disease remains largely unknown. We investigated whether birth order is associated with the risk of childhood diabetes by performing a pooled analysis of previous...

  7. Born to learn or born to win? Birth order effects on achievement goals

    NARCIS (Netherlands)

    Carette, Bernd; Anseel, Frederik; Van Yperen, Nico W.

    2011-01-01

    Given the widespread use and well-known consequences of achievement goals in different competence-relevant situations, it is important to gain a thorough understanding of how these differences in goal pursuit are formed. Using different analytic approaches, we show that birth order lies at the heart

  8. Birth order and sibling sex ratio of children and adolescents referred to a gender identity service.

    Science.gov (United States)

    Vanderlaan, Doug P; Blanchard, Ray; Wood, Hayley; Zucker, Kenneth J

    2014-01-01

    In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect). In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768). Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females.

  9. Birth order and sibling sex ratio of children and adolescents referred to a gender identity service.

    Directory of Open Access Journals (Sweden)

    Doug P Vanderlaan

    Full Text Available In adult male samples, homosexuality is associated with a preponderance of older brothers (i.e., the fraternal birth order effect. In several studies comparing gender dysphoric youth, who are likely to be homosexual in adulthood, to clinical or non-clinical control groups, the findings have been consistent with the fraternal birth order effect in males; however, less is known about unique sibship characteristics of gender dysphoric females. The current study investigated birth order and sibling sex ratio in a large sample of children and adolescents referred to the same Gender Identity Service (N = 768. Probands were classified as heterosexual males, homosexual males, or homosexual females based on clinical diagnostic information. Groups differed significantly in age and sibship size, and homosexual females were significantly more likely to be only children. Subsequent analyses controlled for age and for sibship size. Compared to heterosexual males, homosexual males had a significant preponderance of older brothers and homosexual females had a significant preponderance of older sisters. Similarly, the older sibling sex ratio of homosexual males showed a significant excess of brothers whereas that of homosexual females showed a significant excess of sisters. Like previous studies of gender dysphoric youth and adults, these findings were consistent with the fraternal birth order effect. In addition, the greater frequency of only children and elevated numbers of older sisters among the homosexual female group adds to a small literature on sibship characteristics of potential relevance to the development of gender identity and sexual orientation in females.

  10. The Effects of Birth Order on Personality Traits and Feelings of Academic Sibling Rivalry

    Science.gov (United States)

    Badger, Julia; Reddy, Peter

    2009-01-01

    The influence of birth order on personality and sibling rivalry is controversial; little research has been conducted into academic sibling rivalry, and none into the connection with personality traits. This study considers the interaction of all three factors. Firstborns (N=22) and lastborns (N=24) completed online personality tests and an…

  11. Direct and Indirect Effects of Birth Order on Personality and Identity: Support for the Null Hypothesis

    Science.gov (United States)

    Dunkel, Curtis S.; Harbke, Colin R.; Papini, Dennis R.

    2009-01-01

    The authors proposed that birth order affects psychosocial outcomes through differential investment from parent to child and differences in the degree of identification from child to parent. The authors conducted this study to test these 2 models. Despite the use of statistical and methodological procedures to increase sensitivity and reduce…

  12. Personality, birth order and attachment styles as related to various types of jealousy

    NARCIS (Netherlands)

    Buunk, Abraham (Bram)

    1997-01-01

    The relationships between jealousy, personality, attachment styles and birth order were examined in a sample of 100 Dutch men and 100 Dutch women. Three types of jealousy were examined: reactive jealousy (a negative response to the emotional or sexual involvement of the partner with someone else), p

  13. BIRTH ORDER AND ANDROPHILIC MALE-TO-FEMALE TRANSSEXUALISM IN BRAZIL.

    Science.gov (United States)

    Vanderlaan, Doug P; Blanchard, Ray; Zucker, Kenneth J; Massuda, Raffael; Fontanari, Anna Martha Vaitses; Borba, André Oliveira; Costa, Angelo Bradelli; Schneider, Maiko Abel; Mueller, Andressa; Soll, Bianca Machado Borba; Schwarz, Karine; Da Silva, Dhiordan Cardoso; Lobato, Maria Inês Rodrigues

    2016-11-07

    Previous research has indicated that biological older brothers increase the odds of androphilia in males. This finding has been termed the fraternal birth order effect. The maternal immune hypothesis suggests that this effect reflects the progressive immunization of some mothers to male-specific antigens involved in fetal male brain masculinization. Exposure to these antigens, as a result of carrying earlier-born sons, is hypothesized to produce maternal immune responses towards later-born sons, thus leading to female-typical neural development of brain regions underlying sexual orientation. Because this hypothesis posits mechanisms that have the potential to be active in any situation where a mother gestates repeated male fetuses, a key prediction is that the fraternal birth order effect should be observable in diverse populations. The present study assessed the association between sexual orientation and birth order in androphilic male-to-female transsexuals in Brazil, a previously unexamined population. Male-to-female transsexuals who reported attraction to males were recruited from a specialty gender identity service in southern Brazil (n=118) and a comparison group of gynephilic non-transsexual men (n=143) was recruited at the same hospital. Logistic regression showed that the transsexual group had significantly more older brothers and other siblings. These effects were independent of one another and consistent with previous studies of birth order and male sexual orientation. The presence of the fraternal birth order effect in the present sample provides further evidence of the ubiquity of this effect and, therefore, lends support to the maternal immune hypothesis as an explanation of androphilic sexual orientation in some male-to-female transsexuals.

  14. Birth order effects on the separation process in young adults: an evolutionary and dynamic approach.

    Science.gov (United States)

    Ziv, Ido; Hermel, Orly

    2011-01-01

    The present study analyzes the differential contribution of a familial or social focus in imaginative ideation (the personal fable and imagined audience mental constructs) to the separation-individuation process of firstborn, middleborn, and lastborn children. A total of 160 young adults were divided into 3 groups by birth order. Participants' separation-individuation process was evaluated by the Psychological Separation Inventory, and results were cross-validated by the Pathology of Separation-Individuation Inventory. The Imaginative Ideation Inventory tested the relative dominance of the familial and social environments in participants' mental constructs. The findings showed that middleborn children had attained more advanced separation and were lower in family-focused ideation and higher in nonfamilial social ideation. However, the familial and not the social ideation explained the variance in the separation process in all the groups. The findings offer new insights into the effects of birth order on separation and individuation in adolescents and young adults.

  15. Sibship Size, Birth Order, and Children's Education Indeveloping Countries : Evidence from Bangladesh

    OpenAIRE

    Park, Cheolsung; Chung, Wankyo

    2012-01-01

    We examine whether the effect of sibship size on education differs by the individual's birth order in low-income countries, using data from Matlab, Bangladesh. Exploiting exposure to the randomized family planning program in Matlab for identification, we find evidence that sibship size has negative effect on education and positive effect on labor force participation of the first and the second-born children, but no significant effect on education or labor force participation of the later-born...

  16. How Do Children Behave Regarding Their Birth Order in Dental Setting?

    Directory of Open Access Journals (Sweden)

    Faezeh Ghaderi

    2015-12-01

    Full Text Available Statement of the Problem: Prediction of child cooperation level in dental setting is an important issue for a dentist to select the proper behavior management method. Many psychological studies have emphasized the effect of birth order on patient behavior and personality; however, only a few researches evaluated the effect of birth order on child’s behavior in dental setting. Purpose: This study was designed to evaluate the influence of children ordinal position on their behavior in dental setting. Materials and Method: A total of 158 children with at least one primary mandibular molar needing class I restoration were selected. Children were classified based on the ordinal position; first, middle, or last child as well as single child. A blinded examiner recorded the pain perception of children during injection based on Visual Analogue Scale (VAS and Sound, Eye and Movement (SEM scale. To assess the child's anxiety, the questionnaire known as “Dental Subscale of the Children's Fear Survey Schedule” (CFSS-DS was employed. Results: The results showed that single children were significantly less cooperative and more anxious than the other children (p<0.001. The middle children were significantly more cooperative in comparison with the other child's position (p< 0.001. Conclusion: Single child may behave less cooperatively in dental setting. The order of child birth must also be considered in prediction of child’s behavior for behavioral management.

  17. Family matters: effects of birth order, culture, and family dynamics on surrogate decision-making.

    Science.gov (United States)

    Su, Christopher T; McMahan, Ryan D; Williams, Brie A; Sharma, Rashmi K; Sudore, Rebecca L

    2014-01-01

    Cultural attitudes about medical decision-making and filial expectations may lead some surrogates to experience stress and family conflict. Thirteen focus groups with racially and ethnically diverse English and Spanish speakers from county and Veterans Affairs hospitals, senior centers, and cancer support groups were conducted to describe participants' experiences making serious or end-of-life decisions for others. Filial expectations and family dynamics related to birth order and surrogate decision-making were explored using qualitative, thematic content analysis, and overarching themes from focus group transcripts were identified. The mean age of the 69 participants was 69 ± 14, and 29% were African American, 26% were white, 26% were Asian or Pacific Islander, and 19% were Latino. Seventy percent of participants engaged in unprompted discussions about birth order and family dynamics. Six subthemes were identified within three overarching categories: communication (unspoken expectations and discussion of death as taboo), emotion (emotional stress and feelings of loneliness), and conflict (family conflict and potential solutions to prevent conflict). These findings suggest that birth order and family dynamics can have profound effects on surrogate stress and coping. Clinicians should be aware of potential unspoken filial expectations for firstborns and help facilitate communication between the patient, surrogate, and extended family to reduce stress and conflict.

  18. Relation of birth order and scores on measures of pathological narcissism.

    Science.gov (United States)

    Curtis, J M; Cowell, D R

    1993-02-01

    To study the relationship between birth order and pathological narcissism, it was predicted that firstborn and only children would score significantly higher on standardized measures of pathological narcissism. Two such measures, the Millon Clinical Multiaxial Inventory and the Narcissistic Personality Inventory, were administered to 50 randomly selected subjects from a metropolitan mental health and family treatment agency. Subjects were asked to indicate their ordinal birth positions, e.g., first, middle, last, or only, and then were administered both instruments. Analysis supported the initial prediction by indicating that firstborn and only children had higher mean scores on the measures of pathological narcissism. It might be advisable for clinicians to identify patients' ordinal positions while appraising relevant diagnostic criteria and eventual treatment planning.

  19. Middleborns disadvantaged? Testing birth-order effects on fitness in pre-industrial Finns.

    Science.gov (United States)

    Faurie, Charlotte; Russell, Andrew F; Lummaa, Virpi

    2009-05-25

    Parental investment is a limited resource for which offspring compete in order to increase their own survival and reproductive success. However, parents might be selected to influence the outcome of sibling competition through differential investment. While evidence for this is widespread in egg-laying species, whether or not this may also be the case in viviparous species is more difficult to determine. We use pre-industrial Finns as our model system and an equal investment model as our null hypothesis, which predicts that (all else being equal) middleborns should be disadvantaged through competition. We found no overall evidence to suggest that middleborns in a family are disadvantaged in terms of their survival, age at first reproduction or lifetime reproductive success. However, when considering birth-order only among same-sexed siblings, first-, middle- and lastborn sons significantly differed in the number of offspring they were able to rear to adulthood, although there was no similar effect among females. Middleborn sons appeared to produce significantly less offspring than first- or lastborn sons, but they did not significantly differ from lastborn sons in the number of offspring reared to adulthood. Our results thus show that taking sex differences into account is important when modelling birth-order effects. We found clear evidence of firstborn sons being advantaged over other sons in the family, and over firstborn daughters. Therefore, our results suggest that parents invest differentially in their offspring in order to both preferentially favour particular offspring or reduce offspring inequalities arising from sibling competition.

  20. The Effects of Family Size, Birth Order, Sibling Separation and Crowding on the Academic Achievement of Boys and Girls

    Science.gov (United States)

    Nuttall, Ena Vazquez; And Others

    1976-01-01

    Family constellation variables such as family size, birth order, spacing of children, and crowding were significantly associated with academic achievement when IQ was controlled. The effects of family constellation variables were found to be sex specific. (RC)

  1. Effect of Sims modified position over the rotation and foetus progress down on women on their first birth with epidural anaesthesia

    Directory of Open Access Journals (Sweden)

    Rosa María Rodríguez Ferrer

    2007-11-01

    Full Text Available The use of epidural anaesthesia during birth process has made that both second stage of labour time and foetus expulsion time has increased. This has made that we will look for another position to favour the foetus progress down the birth canal so that time of the second stage of labour will decrease.The most usual positions on our country are the Sims and Semi-fowler ones, and the obstetric position, which is generally used when foetus is in III or IV level and birth is going to take place.After the hospital redesigning, our hospital bought some new articled beds which may be transformed into birthing bed, and some of the midwives that work there started to use this Sims position with the modification that this kind of bed permit, consisting on lifting one of the women legs. Woman is collocated lying on her side with one of her legs parallel to the other, but one of them is lift, avoiding the forced knees separation, being the woman firm and secure during all second stage of labour and expulsion period, using the squatting bar to help her when pushing. Therefore, an experimental study has being designed in order to know whether Sims modified position reduce the second stage of labour time, and also to know if this position favours the foetus rotation and progress down the birth canal.Women will be randomly divided into two groups, the control group and the experimental group.

  2. Birth order dependent growth cone segregation determines synaptic layer identity in the Drosophila visual system.

    Science.gov (United States)

    Kulkarni, Abhishek; Ertekin, Deniz; Lee, Chi-Hon; Hummel, Thomas

    2016-03-17

    The precise recognition of appropriate synaptic partner neurons is a critical step during neural circuit assembly. However, little is known about the developmental context in which recognition specificity is important to establish synaptic contacts. We show that in the Drosophila visual system, sequential segregation of photoreceptor afferents, reflecting their birth order, lead to differential positioning of their growth cones in the early target region. By combining loss- and gain-of-function analyses we demonstrate that relative differences in the expression of the transcription factor Sequoia regulate R cell growth cone segregation. This initial growth cone positioning is consolidated via cell-adhesion molecule Capricious in R8 axons. Further, we show that the initial growth cone positioning determines synaptic layer selection through proximity-based axon-target interactions. Taken together, we demonstrate that birth order dependent pre-patterning of afferent growth cones is an essential pre-requisite for the identification of synaptic partner neurons during visual map formation in Drosophila.

  3. Middleborns disadvantaged? Testing birth-order effects on fitness in pre-industrial Finns.

    Directory of Open Access Journals (Sweden)

    Charlotte Faurie

    Full Text Available Parental investment is a limited resource for which offspring compete in order to increase their own survival and reproductive success. However, parents might be selected to influence the outcome of sibling competition through differential investment. While evidence for this is widespread in egg-laying species, whether or not this may also be the case in viviparous species is more difficult to determine. We use pre-industrial Finns as our model system and an equal investment model as our null hypothesis, which predicts that (all else being equal middleborns should be disadvantaged through competition. We found no overall evidence to suggest that middleborns in a family are disadvantaged in terms of their survival, age at first reproduction or lifetime reproductive success. However, when considering birth-order only among same-sexed siblings, first-, middle- and lastborn sons significantly differed in the number of offspring they were able to rear to adulthood, although there was no similar effect among females. Middleborn sons appeared to produce significantly less offspring than first- or lastborn sons, but they did not significantly differ from lastborn sons in the number of offspring reared to adulthood. Our results thus show that taking sex differences into account is important when modelling birth-order effects. We found clear evidence of firstborn sons being advantaged over other sons in the family, and over firstborn daughters. Therefore, our results suggest that parents invest differentially in their offspring in order to both preferentially favour particular offspring or reduce offspring inequalities arising from sibling competition.

  4. 48 CFR 13.302-3 - Obtaining contractor acceptance and modifying purchase orders.

    Science.gov (United States)

    2010-10-01

    ... acceptance and modifying purchase orders. 13.302-3 Section 13.302-3 Federal Acquisition Regulations System... Simplified Acquisition Methods 13.302-3 Obtaining contractor acceptance and modifying purchase orders. (a... order by the contractor. (b) Each purchase order modification shall identify the order it modifies...

  5. A Fourth-Order Modified Method for the Cauchy Problem of the Modified Helmholtz Equation

    Institute of Scientific and Technical Information of China (English)

    R. Shi; H. H. Qin

    2009-01-01

    This paper is concerned with the Cauchy problem for the modified Helmholtz equation in an infinite strip domain 0 < x≤ 1, y ∈ R. The Cauchy data at x = 0 is given and the solution is then sought for the interval 0 < x ≤1. This problem is highly ill-posed and the solution (if it exists) does not depend continuously on the given data. In this paper, we propose a fourth-order modified method to solve the Cauchy problem. Convergence estimates are presented under the suitable choices of regularization parameters and the a priori assumption on the bounds of the exact solution. Numerical implementation is considered and the numerical examples show that our proposed method is effective and stable.

  6. Biological and sociological interpretations of age-adjustment in studies of higher order birth rates

    Directory of Open Access Journals (Sweden)

    Niels Keiding

    2008-07-01

    Full Text Available Several studies of the effect of education on second or third birth rates (e.g. Hoem et al. (2001 have used the concept of relative age at previous birth (B.Hoem (1996. B.Hoem's idea was to focus on the social meaning of age at previous birth. We broaden the discussion by considering other interpretations of the explanatory power of the age at previous birth, particularly via known trends in biological fecundity. A mathematical analysis of the approach reveals side effects that have not been taken sufficiently into account. Our recommendation is not to use the relative age approach without supplementing it with the more traditional approach which includes the actual age at previous birth.

  7. Birth order and the dominance aspect of extraversion : Are firstborns more extraverted, in the sense of being dominant, than laterborns?

    NARCIS (Netherlands)

    Pollet, Thomas V.; Dijkstra, Pieternel; Barelds, Dick P. H.; Buunk, Abraham P.

    2010-01-01

    The present study set out to examine the relationship between birth order and the dominance facet of extraversion in a community sample of around 1500 participants. In contrast, to Sulloway's (1995) predictions, the present study, using a between-family design, found firstborns to be less extraverte

  8. Birth Order and Sibling Gender Ratio of a Clinical Sample of Children and Adolescents Diagnosed with Attention Deficit Hyperactivity Disorder

    Directory of Open Access Journals (Sweden)

    Ahmad Ghanizadeh

    2012-09-01

    Full Text Available Objective: It is not clear whether sibling’s gender ratio is associated with attention deficit hyperactivity disorder (ADHD. This study examines whether inattentiveness severity and hyperactivity/impulsivity severity are associated with birth order of children with ADHD.Method: Participants are a clinical sample of 173 children and adolescents with ADHD and 43 ones without ADHD. Diagnoses were made using Diagnostic and Statistical Manual of Mental Disorders forth edition-Text Revision (DSM-IV-TR, diagnostic criteria according to face-to-face interview with the children and their parents. ADHD DSM-IV checklist was used to measure inattentiveness and hyperactivity/impulsivity scores.Results: The association of birth order and diagnosis of ADHD was not statistically significant after adjusting for covariate factors. The gender ratio of siblings is not associated with ADHD.Conclusion: Birth order and siblings gender ratio are independent of ADHD diagnosis. The results of this study support the fact that genetic factors rather than environmental factor of birth order is associated with ADHD. Moreover, contrary to autism, the current results do not suggest the androgen theory for ADHD.

  9. Birth order and recalled childhood gender nonconformity in Samoan men and fa'afafine.

    Science.gov (United States)

    Semenyna, Scott W; VanderLaan, Doug P; Vasey, Paul L

    2017-04-01

    Having a greater than average number of older biological brothers is a robust correlate of male androphilia (i.e., sexual attraction and arousal to adult males). Previous investigations have sought to understand whether this fraternal birth order (FBO) effect is also systematically related to recalled indicators of childhood gender nonconformity (CGN). However, these investigations have relied on data from low-fertility Western populations in which expressions of femininity in male children are routinely stigmatized and consequently, suppressed. The present study examined the FBO effect (among other sibship characteristics) and recalled indicators of CGN in Samoa, a high-fertility population, whose members are relatively tolerant of male femininity. Indeed, Samoans identify feminine androphilic males as belonging to an alternative gender category, known locally as fa'afafine. The present study compared the sibship characteristics of 231 fa'afafine and 231 opposite-sex attracted men from Samoa, as well as how these characteristics related to recalled CGN. Results replicated the well-established FBO effect for predicting male sexual orientation, with each older brother increasing the odds of being androphilic by 21%. However, no relationship was found between the number of older brothers (or other siblings) a participant had and their recalled CGN. Although fa'afafine reported significantly more CGN than Samoan men, CGN did not mediate the FBO effect, nor did the FBO effect and CGN interact to predict male sexual orientation. These findings are consistent with previous studies suggesting that the FBO effect is associated with male sexual orientation, but not childhood female-typical gender expression among androphilic males.

  10. 48 CFR 213.302-3 - Obtaining contractor acceptance and modifying purchase orders.

    Science.gov (United States)

    2010-10-01

    ... acceptance and modifying purchase orders. 213.302-3 Section 213.302-3 Federal Acquisition Regulations System... and modifying purchase orders. (1) Require written acceptance of purchase orders for classified... agreement converts a unilateral purchase order to a bilateral agreement. If not previously included in...

  11. Number of siblings, birth order, and childhood overweight: a population-based cross-sectional study in Japan

    Directory of Open Access Journals (Sweden)

    Ochiai Hirotaka

    2012-09-01

    Full Text Available Abstract Background Although several studies have investigated the relationship between the number of siblings or birth order and childhood overweight, the results are inconsistent. In addition, little is known about the impact of having older or younger siblings on overweight among elementary schoolchildren. The present population-based study investigated the relationship of the number of siblings and birth order with childhood overweight and evaluated the impact of having younger or older siblings on childhood overweight among elementary schoolchildren in Japan. Methods Subjects comprised fourth-grade schoolchildren (age, 9–10 years in Ina Town during 1999–2009. Information about subjects’ sex, age, birth weight, birth order, number of siblings, lifestyle, and parents’ age, height, and weight was collected by a self-administered questionnaire, while measurements of subjects’ height and weight were done at school. Childhood overweight was defined according to age- and sex-specific cut-off points proposed by the International Obesity Task Force. A logistic regression model was used to calculate the odds ratio (OR and 95% confidence intervals (95% CI of "number of siblings" or "birth order" for overweight. Results Data from 4026 children were analyzed. Only children (OR: 2.13, 95% CI: 1.45-3.14 and youngest children (1.56, 1.13-2.16 significantly increased ORs for overweight compared with middle children. A larger number of siblings decreased the OR for overweight (P for trend P for trend  Conclusions Being an only or youngest child was associated with childhood overweight, and having a larger number of younger siblings was negatively associated with overweight. The present study suggests that public health interventions to prevent childhood overweight need to focus on children from these family backgrounds.

  12. An IGF-I promoter polymorphism modifies the relationships between birth weight and risk factors for cardiovascular disease and diabetes at age 36

    Directory of Open Access Journals (Sweden)

    Stehouwer Coen DA

    2005-06-01

    Full Text Available Abstract Objective To investigate whether IGF-I promoter polymorphism was associated with birth weight and risk factors for cardiovascular disease (CVD and type 2 diabetes (T2DM, and whether the birth weight – risk factor relationship was the same for each genotype. Design and participants 264 subjects (mean age 36 years had data available on birth weight, IGF-I promoter polymorphism genotype, CVD and T2DM risk factors. Student's t-test and regression analyses were applied to analyse differences in birth weight and differences in the birth weight – risk factors relationship between the genotypes. Results Male variant carriers (VCs of the IGF-I promoter polymorphism had a 0.2 kg lower birth weight than men with the wild type allele (p = 0.009. Of the risk factors for CVD and T2DM, solely LDL concentration was associated with the genotype for the polymorphism. Most birth weight – risk factor relationships were stronger in the VC subjects; among others the birth weight – systolic blood pressure relationship: 1 kg lower birth weight was related to an 8.0 mmHg higher systolic blood pressure Conclusion The polymorphism in the promoter region of the IGF-I gene is related to birth weight in men only, and to LDL concentration only. Furthermore, the genotype for this polymorphism modified the relationships between birth weight and the risk factors, especially for systolic and diastolic blood pressure.

  13. 48 CFR 1313.302-3 - Obtaining contractor acceptance and modifying purchase orders.

    Science.gov (United States)

    2010-10-01

    ... acceptance and modifying purchase orders. 1313.302-3 Section 1313.302-3 Federal Acquisition Regulations... Simplified Acquisitions Methods 1313.302-3 Obtaining contractor acceptance and modifying purchase orders. A contractor's written acceptance of a purchase order modification is required, unless the contracting...

  14. A modified multi-reference second order perturbation theory

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    A new scheme with extended model space is proposed to improve the calculation of multi-reference second order perturbation theory (MRPT2). The new scheme preserves the concise code structure of the original program, and avoids intruder states in constructions of the potential energy surface, which is confirmed by a series of comparable calculations. The new MRPT2 program is an available tool for the research of molecular excited states and electronic spectrum.

  15. Cohort birth order, parity progression ratio and parity distribution trends in developed countries

    Directory of Open Access Journals (Sweden)

    Jean-Paul Sardon

    2007-04-01

    Full Text Available Major changes in childbearing patterns are continuously taking place in the majority of low-fertility populations with postponement being virtually universal. Almost everywhere the two-child family became dominant. Proportions of childless women and one-child families were increasing recently. Changes in childbearing patterns in Central and Eastern Europe have been profound justifying the label of an historic transformation. Young women are bearing considerably fewer children compared to older cohorts. Especially proportions of women having second births in most CEE countries were declining rapidly and these were lower than in western countries. Postponement of childbearing might be nearing cessation in some western countries.

  16. Strontium modified biocements with zero order release kinetics.

    Science.gov (United States)

    Hamdan Alkhraisat, Mohammad; Moseke, Claus; Blanco, Luis; Barralet, Jake E; Lopez-Carbacos, Enrique; Gbureck, Uwe

    2008-12-01

    Strontium-substituted beta-TCP with the general formula Ca((3-x))Sr(x)(PO(4))(2) (0brushite (CaHPO(4).2H(2)O). Release experiments under dynamic conditions for up to 15 days revealed the release of Sr(2+) ions at dose ranges of 12-30 ppm with zero order release kinetic. Cement cytocompatibility was investigated by culturing human osteoblast cell line hFOB1.19 on cement surfaces whereas Sr-containing cements were as good as Sr-free cements in providing a template for cell growth and function.

  17. Brain derived neurotrophic factor gene (BDNF) and personality traits: the modifying effect of season of birth and sex.

    Science.gov (United States)

    Kazantseva, A; Gaysina, D; Kutlumbetova, Yu; Kanzafarova, R; Malykh, S; Lobaskova, M; Khusnutdinova, E

    2015-01-02

    Personality traits are complex phenotypes influenced by interactions of multiple genetic variants of small effect and environmental factors. It has been suggested that the brain derived neurotrophic factor gene (BDNF) is involved in personality traits. Season of birth (SOB) has also been shown to affect personality traits due to its influences on brain development during prenatal and early postnatal periods. The present study aimed to investigate the effects of BDNF on personality traits; and the modifying effects of SOB and sex on associations between BDNF and personality traits. A sample of 1018 young adults (68% women; age range 17-25years) of Caucasian origin from the Russian Federation was assessed on personality traits (Novelty Seeking, Harm Avoidance, Reward Dependence, Persistence, Self-directedness, Cooperativeness, Self-transcendence) with the Temperament and Character Inventory-125 (TCI-125). Associations between personality traits and 12 BDNF SNPs were tested using linear regression models. The present study demonstrated the effect of rs11030102 on Persistence in females only (PFDR=0.043; r(2)=1.3%). There were significant interaction effects between Val66Met (rs6265) and SOB (PFDR=0.048, r(2)=1.4%), and between rs2030323 and SOB (PFDR=0.042, r(2)=1.3%), on Harm Avoidance. Our findings provide evidence for the modifying effect of SOB on the association between BDNF and Harm Avoidance, and for the modifying effect of sex on the association between BDNF and Persistence.

  18. Children's experiences of the repositioning of their psychological birth order in a reconstituted family / Lizelle van Jaarsveld.

    OpenAIRE

    Van Jaarsveld, Lizelle

    2012-01-01

    The aim of this study is to explore and describe children’s experiences of the repositioning of their psychological birth order in a reconstituted family. The aim of this study is also to contribute to a better understanding of this phenomenon to aid the parents of these children as well as professionals working with such families. The systems theory was used as the meta-theory of this study. Gestalt field theory formed the connection between the systems theory and Adlerian theory, to port...

  19. Evaluations of family by youth: do they vary as a function of family structure, gender, and birth order?

    Science.gov (United States)

    Parish, T S

    1990-01-01

    In the present study, 334 youths evaluated their families by responding to the Personal Attribute Inventory for Children. An analysis of variance revealed no significant main effects due to respondents' birth order or gender, but did find a significant main effect due to family structure and a significant two-way interaction effect between respondents' family structure and gender. Specifically, males from divorced remarried families and females from divorced nonremarried families were found to evaluate their respective families significantly more negatively than did their counterparts from other familial configurations. Implications of these findings are discussed.

  20. 75 FR 4877 - In the Matter of Beta Gamma Nuclear Radiology; Confirmatory Order Modifying License (Effective...

    Science.gov (United States)

    2010-01-29

    ... Gamma Nuclear Radiology; Confirmatory Order Modifying License (Effective Immediately) I Beta Gamma Nuclear Radiology (BGNR) (Licensee) is the holder of medical License No. 52-25542-01, issued by the...

  1. Detecting and correcting for family size differences in the study of sexual orientation and fraternal birth order.

    Science.gov (United States)

    Blanchard, Ray

    2014-07-01

    The term "fraternal birth order effect" denotes a statistical relation most commonly expressed in one of two ways: Older brothers increase the odds of homosexuality in later born males or, alternatively, homosexual men tend to have more older brothers than do heterosexual men. The demonstrability of this effect depends partly on the adequate matching of the homosexual and heterosexual study groups with respect to mean family size. If the homosexual group has too many siblings, relative to the heterosexual group, the homosexual group will tend to show the expected excess of older brothers but may also show an excess of other sibling-types (most likely older sisters); if the homosexual group has too few siblings, it will tend not to show a difference in number of older brothers but instead may show a deficiency of other sibling-types (most likely younger brothers and younger sisters). In the first part of this article, these consequences are illustrated with deliberately mismatched groups selected from archived data sets. In the second part, two slightly different methods for transforming raw sibling data are presented. These are intended to produce family-size-corrected variables for each of the four original sibling parameters (older brothers, older sisters, younger brothers, and younger sisters). Both versions are shown to render the fraternal birth order effect observable in the deliberately mismatched groups. In the third part of the article, fraternal birth order studies published in the last 5 years were surveyed for failures to find a statistically significant excess of older brothers for the homosexual group. Two such studies were found in the nine examined. In both cases, the collective findings for older sisters, younger brothers, and younger sisters suggested that the mean family size of the homosexual groups was smaller than that of the heterosexual comparison groups. Furthermore, the individual findings for the four classes of siblings resembled those

  2. 77 FR 24538 - Fukushima-Related Orders Modifying Licenses; Establishment of Atomic Safety and Licensing Board

    Science.gov (United States)

    2012-04-24

    ... Boiling Water Reactor Licensees With Mark I and Mark II Containments: Order Modifying Licenses With Regard to Reliable Hardened Containment Vents (Effective Immediately) Docket No. Ea-12- 050 All Power... immediately effective order issued to all operating boiling water reactor licensees with Mark I and Mark...

  3. Dynamical analysis of fractional-order Rössler and modified Lorenz systems

    Energy Technology Data Exchange (ETDEWEB)

    Letellier, Christophe, E-mail: Christophe.Letellier@coria.fr [Université de Rouen – CORIA, BP 12, F-76801 Saint-Etienne du Rouvray Cedex (France); Aguirre, Luis A. [Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627, 31270-901 Belo Horizonte, MG (Brazil)

    2013-10-15

    This Letter is devoted to the dynamical analysis of fractional-order systems, namely the Rössler and a modified Lorenz system. The work here described compares the dynamical regimes of such fractional-order systems to that of the corresponding standard systems. It turns out that most of the chaotic attractors are topologically equivalent to those found in the original integer-order systems, although in some particular (and apparently rare) cases unusual bifurcation patterns and attractors are found.

  4. Dynamical analysis of fractional-order Rössler and modified Lorenz systems

    Science.gov (United States)

    Letellier, Christophe; Aguirre, Luis A.

    2013-10-01

    This Letter is devoted to the dynamical analysis of fractional-order systems, namely the Rössler and a modified Lorenz system. The work here described compares the dynamical regimes of such fractional-order systems to that of the corresponding standard systems. It turns out that most of the chaotic attractors are topologically equivalent to those found in the original integer-order systems, although in some particular (and apparently rare) cases unusual bifurcation patterns and attractors are found.

  5. Birth order and Personality

    Science.gov (United States)

    Macdonald, A. P.

    1971-01-01

    It was found that (a) later borns from two-child families were more external than those from larger families; (b) later borns were more external than only children or firstborns; (c) only children and firstborns were more socially responsible than later borns; and (d) firstborns were more rigid than only-child and later-born Ss. (Author)

  6. Modified third order multistep method based on interpolation for solving ordinary differential problem

    Science.gov (United States)

    Ismail, Azman; Ahmad, Rokiah Rozita; Din, Ummul Khair Salma; Hamid, Mohd Rosli A.

    2014-09-01

    This study is based on third order multistep method using interpolation formula. The coefficients of new formula are produced using modification on interpolation. This method is tested on ordinary differential equations. Comparisons are between the modified method and the classical Adams Bashforth. Mathematica software is used to determine the new coefficients. The methods was found to be efficient when tested on ordinary differential equation.

  7. Algorithm 831: modified Bessel functions of imaginary order and positive argument

    NARCIS (Netherlands)

    Gil, A.; Segura, J.; Temme, N.M.

    2004-01-01

    77 programs for the computation of modified Bessel functions of purely imaginary order are presented. The codes compute the functions Kia (x), Lia (x) and their derivatives for real a and positive x; these functions are independent solutions of the differential equation x2w'' + xw' + (a2

  8. Recurrence relations for the moments of order statistics from doubly truncated modified Makeham distribution and its characterization

    Directory of Open Access Journals (Sweden)

    Ali A. Ismail

    2014-07-01

    Full Text Available In this study a general form of recurrence relations of continuous function for doubly truncated modified Makeham distribution is obtained. Recurrence relations between single and product moments of order statistics from doubly truncated modified Makeham distribution are given. Also, a characterization of modified Makeham distribution from the right and the left is discussed through the properties of order statistics.

  9. Effects of gender difference and birth order on perceived parenting styles, measured by the EMBU scale, in Japanese two-sibling subjects.

    Science.gov (United States)

    Someya, T; Uehara, T; Kadowaki, M; Tang, S W; Takahashi, S

    2000-02-01

    The relationship between Egna Minnen av Barndoms Uppforstran (EMBU) scaling and gender, birth order and parents' gender was previously investigated in a large volunteer sample; significant interactions among the variables were found. In the present study, 730 Japanese volunteers with one sibling were used as subjects in order to control the number of siblings: the effect of gender of subjects and siblings and birth order on the perceived parenting style was examined. Based on gender and birth orders, 730 subjects were grouped into the following categories: (i) male with a younger brother; (ii) male with a younger sister; (iii) male with an older brother; (iv) male with an older sister; (v) female with a younger brother; (vi) female with a younger sister; (vii) female with an older brother; and (viii) female with an older sister. One-way ANOVA was performed with each EMBU subscale used as a dependent variable and these eight groups as independent variables. The scores for rejection and emotional warmth of father were influenced significantly by the pattern of siblings (Pparenting style as more rejecting than others, and female children (elder sisters with brother, or younger sisters with sister) recognized parenting style as more caring and demonstrated more warmth than others. The results confirmed a significant interaction of gender of subjects and siblings and birth order of perceived parental rearing behavior.

  10. Does birth order and academic proficiency influence perfectionistic self-presentation among undergraduate engineering students? A descriptive analysis

    Directory of Open Access Journals (Sweden)

    Preeti Tabitha Louis

    2016-01-01

    Full Text Available Background: Perfectionism is a multifaceted concept. It had both advantages and disadvantages. Perfectionistic traits have been associated with leadership and very intellectual people. The present study is an attempt to understand if engineering students possess perfectionistic orientation and whether it influences self-efficacy, social connectedness, and achievement motivation. Materials and Methods: The present study adopts a random sampling design to evaluate the presence of perfectionism as a personality trait among undergraduate engineering students (N = 320. Standardized inventories such as Almost Perfect Scale-Revised were administered first to identify perfectionists and second to differentiate the adaptive from the maladaptive perfectionists. Scheduled interviews were conducted with students to obtain information regarding birth order and family functioning. Results: Findings from the study reveal that there were a significant number of maladaptive perfectionists and that they experienced higher levels of personal and societal demands leading to a negative emotional well-being in comparison to the adaptive perfectionists. We also observed that first-born children were more likely to display a perfectionistic self-presentation and from scheduled interviews, we understood that paternal influences were stronger when it came to decision-making and display of conscientiousness. Conclusion: The study draws on important implications for helping students to understand perfectionism and to respond to demands of the family and societal subsystems in a positive and an adaptive manner.

  11. Birth order and risk taking in athletics: a meta-analysis and study of major league baseball.

    Science.gov (United States)

    Sulloway, Frank J; Zweigenhaft, Richard L

    2010-11-01

    According to expectations derived from evolutionary theory, younger siblings are more likely than older siblings to participate in high-risk activities. The authors test this hypothesis by conducting a meta-analysis of 24 previous studies involving birth order and participation in dangerous sports. The odds of laterborns engaging in such activities were 1.48 times greater than for firstborns (N = 8,340). The authors also analyze performance data on 700 brothers who played major league baseball. Consistent with their greater expected propensity for risk taking, younger brothers were 10.6 times more likely to attempt the high-risk activity of base stealing and 3.2 times more likely to steal bases successfully (odds ratios). In addition, younger brothers were significantly superior to older brothers in overall batting success, including two measures associated with risk taking. As expected, significant heterogeneity among various performance measures for major league baseball players indicated that older and younger brothers excelled in different aspects of the game.

  12. Divergent Response Profile in Activated Cord Blood T cells from First-born Child Implies Birth-order-associated in Utero Immune Programming

    DEFF Research Database (Denmark)

    Kragh, Marie; Larsen, Jeppe Madura; Thysen, Anna Hammerich

    2016-01-01

    the association between birth-order and the functional response of stimulated cord blood T cells. Method: Purified cord blood T cells were polyclonally activated with anti-CD3/CD28-coated beads in a subgroup of 28 children enrolled in the COPSAC2010 birth cohort. Expression levels of seven activation markers...... on helper and cytotoxic T cells as well as the percentage of CD4+CD25+ T cells were assessed by flow cytometry. Production of IFN-γ, TNF-α, IL-17, IL-4, IL-5, IL-13 and IL-10 was measured in supernatants. Results: IL-10 secretion (P = 0.007) and CD25 expression on CD4+ helper T cells (P = 0.......0003) in activated cord blood T cells were selectively reduced in first-born children, while the percentage of CD4+CD25+ cord blood T cells was independent of birth-order. Conclusion: First-born infants display a reduced anti-inflammatory profile in T cells at birth. This possible in utero ‘birth-order’ T cell...

  13. Sliding Mode Control and Modified Generalized Projective Synchronization of a New Fractional-Order Chaotic System

    Directory of Open Access Journals (Sweden)

    Junbiao Guan

    2015-01-01

    Full Text Available A new fractional-order chaotic system is addressed in this paper. By applying the continuous frequency distribution theory, the indirect Lyapunov stability of this system is investigated based on sliding mode control technique. The adaptive laws are designed to guarantee the stability of the system with the uncertainty and external disturbance. Moreover, the modified generalized projection synchronization (MGPS of the fractional-order chaotic systems is discussed based on the stability theory of fractional-order system, which may provide potential applications in secure communication. Finally, some numerical simulations are presented to show the effectiveness of the theoretical results.

  14. Finite size scaling and first-order phase transition in a modified XY model

    Science.gov (United States)

    Sinha, Suman; Roy, Soumen Kumar

    2010-02-01

    Monte Carlo simulation has been performed in a two-dimensional modified XY -model first proposed by Domany [Phys. Rev. Lett. 52, 1535 (1984)] The cluster algorithm of Wolff has been used and multiple histogram reweighting is performed. The first-order scaling behavior of the quantities such as specific heat and free-energy barrier are found to be obeyed accurately. While the lowest-order correlation function was found to decay to zero at long distance just above the transition, the next-higher-order correlation function shows a nonzero plateau.

  15. Biological markers of asexuality: Handedness, birth order, and finger length ratios in self-identified asexual men and women.

    Science.gov (United States)

    Yule, Morag A; Brotto, Lori A; Gorzalka, Boris B

    2014-02-01

    Human asexuality is defined as a lack of sexual attraction to anyone or anything and it has been suggested that it may be best conceptualized as a sexual orientation. Non-right-handedness, fraternal birth order, and finger length ratio (2D:4D) are early neurodevelopmental markers associated with sexual orientation. We conducted an Internet study investigating the relationship between self-identification as asexual, handedness, number of older siblings, and self-measured finger-lengths in comparison to individuals of other sexual orientation groups. A total of 325 asexuals (60 men and 265 women; M age, 24.8 years), 690 heterosexuals (190 men and 500 women; M age, 23.5 years), and 268 non-heterosexuals (homosexual and bisexual; 64 men and 204 women; M age, 29.0 years) completed online questionnaires. Asexual men and women were 2.4 and 2.5 times, respectively, more likely to be non-right-handed than their heterosexual counterparts and there were significant differences between sexual orientation groups in number of older brothers and older sisters, and this depended on handedness. Asexual and non-heterosexual men were more likely to be later-born than heterosexual men, and asexual women were more likely to be earlier-born than non-heterosexual women. We found no significant differences between sexual orientation groups on measurements of 2D:4D ratio. This is one of the first studies to test and provide preliminary empirical support for an underlying neurodevelopmental basis to account for the lack of sexual attraction characteristic of asexuality.

  16. Electrochemical synthesis of highly ordered polypyrrole on copper modified aluminium substrates

    Energy Technology Data Exchange (ETDEWEB)

    Siddaramanna, Ashoka [Centre Universitaire de Recherche sur l’Aluminium, University of Quebec at Chicoutimi, Saguenay, Quebec G7H2B1 (Canada); Saleema, N. [Aluminum Technology Centre, National Research Council of Canada, University East, Saguenay, Quebec G7H8C3 (Canada); Sarkar, D.K., E-mail: dsarkar@uqac.ca [Centre Universitaire de Recherche sur l’Aluminium, University of Quebec at Chicoutimi, Saguenay, Quebec G7H2B1 (Canada)

    2014-07-01

    Fabrication of highly ordered conducting polymers on metal surfaces has received a significant interest owing to their potential applications in organic electronic devices. In this context, we have developed a simple method for the synthesis of highly ordered polypyrrole (PPy) on copper modified aluminium surfaces via electrochemical polymerization process. A series of characteristic peaks of PPy evidenced on the infrared spectra of these surfaces confirm the formation of PPy. The X-ray diffraction (XRD) pattern of PPy deposited on copper modified aluminium surfaces also confirmed the deposition of PPy as a sharp and intense peak at 2θ angle of 23° attributable to PPy is observed while this peak is absent on PPy deposited on as-received aluminium surfaces. An atomic model of the interface of PPy/Cu has been presented based on the inter-atomic distance of copper–copper of (1 0 0) plane and the inter-monomer distance of PPy, to describe the ordering of PPy on Cu modified Al surfaces.

  17. Dynamic bifurcation of a modified Kuramoto-Sivashinsky equation with higher-order nonlinearity

    Institute of Scientific and Technical Information of China (English)

    Huang Qiong-Wei; Tang Jia-Shi

    2011-01-01

    Under the periodic boundary condition,dynamic bifurcation and stability in the modified Kuramoto-Sivashinsky equation with a higher-order nonlinearity p(ux)Puxx are investigated by using the centre manifold reduction procedure.The result shows that as the control parameter crosses a critical value,the system undergoes a bifurcation from the trivial solution to produce a cycle consisting of locally asymptotically stable equilibrium points. Furthermore,for cases in which the distances to the bifurcation points are small enough,one-order approximations to the bifurcation solutions are obtained.

  18. High Weak Order Methods for Stochastic Differential Equations Based on Modified Equations

    KAUST Repository

    Abdulle, Assyr

    2012-01-01

    © 2012 Society for Industrial and Applied Mathematics. Inspired by recent advances in the theory of modified differential equations, we propose a new methodology for constructing numerical integrators with high weak order for the time integration of stochastic differential equations. This approach is illustrated with the constructions of new methods of weak order two, in particular, semi-implicit integrators well suited for stiff (meansquare stable) stochastic problems, and implicit integrators that exactly conserve all quadratic first integrals of a stochastic dynamical system. Numerical examples confirm the theoretical results and show the versatility of our methodology.

  19. The Cortisol Awakening Response for Modified Method for Higher Order Logical Relationship Using Different Mean Techniques

    Directory of Open Access Journals (Sweden)

    P. Senthil Kumar

    2015-07-01

    Full Text Available We hypothesized that the free cortisol response to waking, believed to be genetically influenced, would be elevated in a significant percent age of cases, regard less of the afternoon Dexamethasone Suppression Test (DST value based on high-order fuzzy logical relationships. First, the proposed method fuzzifies the historical data into fuzzy sets to form high-order fuzzy logical relationships. Then, it calculates the value of the variable between the subscripts of adjacent fuzzy sets appearing in the antecedents of high-order fuzzy logical relationships. Finally, it chooses a modified high-order fuzzy logical relationships group to forecast the free cortisol response to walking and the short day time profile using various mean techniques like, Arithmetic Mean, Geometric Mean, Heronian Mean, Root Mean Square and Harmonic Mean.

  20. Third-order modified coefficient scheme based on essentially non-oscillatory scheme

    Institute of Scientific and Technical Information of China (English)

    LI Ming-jun; YANG Yu-yue; SHU Shi

    2008-01-01

    A third-order numerical scheme is presented to give approximate solutions to multi-dimensional hyperbolic conservation laws only using modified coefficients of an essentially non-oscillatory (MCENO) scheme without increasing the base points during construction of the scheme.The construction process shows that the modified coefficient approach preserves favourable properties inherent in the original essentially non oscillatory (ENO) scheme for its essential non-oscillation,total variation bounded (TVB),etc.The new scheme improves accuracy by one order compared to the original one.The proposed MCENO scheme is applied to simulate two-dimensional Rayleigh-Taylor (RT) instability with densities 1:3 and 1:100,and solve the Lax shock-wave tube numerically.The ratio of CPU time used to implement MCENO,the third-order ENO and fifth-order weighed ENO (WENO) schemes is 0.62:1:2.19.This indicates that MCENO improves accuracy in smooth regions and has higher accuracy and better efficiency compared to the original ENO scheme.

  1. Modified landfill gas generation rate model of first-order kinetics and two-stage reaction

    Institute of Scientific and Technical Information of China (English)

    Jiajun CHEN; Hao WANG; Na ZHANG

    2009-01-01

    This investigation was carried out to establish a new domestic landfill gas (LFG) generation rate model that takes into account the impact ofleachate recirculation. The first-order kinetics and two-stage reaction (FKTSR) model of the LFG generation rate includes mechanisms of the nutrient balance for biochemical reaction in two main stages. In this study, the FKTSR model was modified by the introduction of the outflow function and the organic acid conversion coefficient in order to represent the in-situ condition of nutrient loss through leachate. Laboratory experiments were carried out to simulate the impact of leachate recirculation and verify the modified FKTSR model. The model calibration was then calculated by using the experimental data. The results suggested that the new model was in line with the experimental data. The main parameters of the modified FKTSR model, including the LFG production potential (L0), the reaction rate constant in the first stage (K1), and the reaction rate constant in the second stage (K2) of 64.746 L, 0.202 d-1, and 0.338 d-1,respectively, were comparable to the old ones of 42.069 L,0.231 d-1, and 0.231 d-1. The new model is better able to explain the mechanisms involved in LFG generation.

  2. An Approach to Differential Geometry of Fractional Order via Modified Riemann-Liouville Derivative

    Institute of Scientific and Technical Information of China (English)

    Guy JUMARIE

    2012-01-01

    In order to cope with some difficulties due to the fact that the derivative of a constant is not zero with the commonly accepted Riemann-Liouville definition of fractional derivative,one (Jumarie)has proposed recently an alternative referred to as (local) modified Riemann-Liouville definition,which directly,provides a Taylor's series of fractional order for non differentiable functions.We examine here in which way this calculus can be used as a framework for a differential geometry of fractional order.One will examine successively implicit function,manifold,length of curves,radius of curvature,Christoffel coefficients,velocity,acceleration.One outlines the application of this framework to Lagrange optimization in mechanics,and one concludes with some considerations on a possible fractional extension of the pseudo-geodesic of thespecial relativity and of the Lorentz transformation.

  3. Chemically Modified Ordered Mesoporous Carbon/Polyaniline Composites for Electrochemical Capacitors

    Institute of Scientific and Technical Information of China (English)

    KONG Ling-bin; ZHANG Jing; CAI Jian-jun; YANG Zhen-sheng; LUO Yong-chun; KANG Long

    2011-01-01

    Chemically modified ordered mesoporous carbon CMK-3 materials were prepared by means of an easy wet-oxidative method in 2 mol/L nitric acid aqueous solution. A large amount of oxygen-containing functional groups were introduced onto the CMK-3 surface. Modified CMK-3(m-CMK-3) and aniline monomer were polymerized via an in situ chemical oxidative polymerization method. Morphological characterizations of m-CMK-3/PANI (polyaniline) composites were carried out via field emission scanning electron microscopy(SEM). Their electrochemical properties were investigated with cyclic voltammetry, galvanostatic charge-discharge, and electrochemical impedance spectroscopy. The m-CMK-3/PANI composites have excellent properties in capacitance, and the highest specific capacitance(SC) value was up to 489 F/g, suggesting their potential application in the electrode material for electrochemical capacitors.

  4. The effect of high-dose vitamin A supplementation administered with BCG vaccine at birth may be modified by subsequent DTP vaccination

    DEFF Research Database (Denmark)

    Benn, Christine Stabell; Rodrigues, Amabelia; Yazdanbakhsh, Maria;

    2009-01-01

    Unexpectedly, we found no overall beneficial effect on mortality in a randomised trial of vitamin A supplementation (VAS) or placebo administered with BCG vaccine at birth in Guinea-Bissau. We conducted an explorative analysis to examine whether subsequent diphtheria-tetanus-pertussis (DTP......) vaccinations had modified the effect of VAS at birth. VAS was associated with a weak tendency for decreased mortality as long as BCG was the most recent vaccination, the mortality rate ratio being 0.86 (0.48-1.54); 0.82 (0.32-2.08) in girls and 0.89 (0.43-1.88) in boys. However, after DTP vaccination VAS...... at birth was associated with increased mortality in girls (2.19 (1.09-4.38)), whereas no difference was seen for boys (0.90 (0.44-1.82)) (p=0.08 for equal effect of VAS in the two sexes if DTP is the last vaccine). The explanation for the lack of beneficial effect in our setting may have been that VAS...

  5. 山西省食管癌患者出生顺序研究%Study on the birth order of patients with esophagus cancer in Shanxi province

    Institute of Scientific and Technical Information of China (English)

    韩斐; 范亚峰; 王国平; 丁悌; 李建民; 苏文; 高泽锋; 韩小友

    2012-01-01

    Objective To explore the relationship between esophagus cancer patients and both environmental and genetic factors,through analyzing the data on birth orders from esophagus cancer patients of Shanxi province.Methods Both Greenwood and Haldane methods on birth order were used to study the 1101 cases with esophagus cancer from Shanxi province.All the patients had received surgery and were diagnosed,by pathological evidence.First certificates of the patients were confirmed through the standard genetic epidemiologic investigation.Birth order was investigated on probands of the 1101 cases with esophagus cancer and their 44 siblings.Results Results form the Greenwood method showed that there was a tendency for cases with esophagus cancer in birth orders First to Third.However,the Haldane method showed that the results were quite different between actual value and the average theory value of 6A (6A(actual value)=17 118,(X)6A(average theory value) =19 290,X=∣6A-(X)6A∣/√V6A =7.63,X > 2) which suggested that the birth order had some effects on the occurrence of esophagus cancer.In addition,the actual value of 6A was lower than the theoretic average value,and the parents at younger productive age or baby at the first birth was easy to develop esophagus cancer.Conclusion Esophagus cancer was related with the birth order,especially at early order,which was not consistent with the national reports on esophagus cancer.Results from this study suggested that there were certain effects of environmental risk factors on esophagus cancer patients.%目的 分析山西省食管癌患者的出生顺序,探讨环境因素、遗传因素与食管癌的关系.方法 采用Greenwood和Haldane的出生顺序方法,以山西省肿瘤医院1101例住院食管癌手术患者为先证者进行遗传流行病学调查,并对1101例先证者及44例食管癌患病同胞进行出生顺序研究.结果 Greenwood法分析结果显示,食管癌患者较多发生在出生顺序1~3

  6. 3D elastic wave modeling using modified high‐order time stepping schemes with improved stability conditions

    KAUST Repository

    Chu, Chunlei

    2009-01-01

    We present two Lax‐Wendroff type high‐order time stepping schemes and apply them to solving the 3D elastic wave equation. The proposed schemes have the same format as the Taylor series expansion based schemes, only with modified temporal extrapolation coefficients. We demonstrate by both theoretical analysis and numerical examples that the modified schemes significantly improve the stability conditions.

  7. Prediction and reconstruction of future and missing unobservable modified Weibull lifetime based on generalized order statistics

    Directory of Open Access Journals (Sweden)

    Amany E. Aly

    2016-04-01

    Full Text Available When a system consisting of independent components of the same type, some appropriate actions may be done as soon as a portion of them have failed. It is, therefore, important to be able to predict later failure times from earlier ones. One of the well-known failure distributions commonly used to model component life, is the modified Weibull distribution (MWD. In this paper, two pivotal quantities are proposed to construct prediction intervals for future unobservable lifetimes based on generalized order statistics (gos from MWD. Moreover, a pivotal quantity is developed to reconstruct missing observations at the beginning of experiment. Furthermore, Monte Carlo simulation studies are conducted and numerical computations are carried out to investigate the efficiency of presented results. Finally, two illustrative examples for real data sets are analyzed.

  8. A Modified Weighted Symmetric Estimator for a Gaussian First-order Autoregressive Model with Additive Outliers

    Directory of Open Access Journals (Sweden)

    Wararit PANICHKITKOSOLKUL

    2012-09-01

    Full Text Available Guttman and Tiao [1], and Chang [2] showed that the effect of outliers may cause serious bias in estimating autocorrelations, partial correlations, and autoregressive moving average parameters (cited in Chang et al. [3]. This paper presents a modified weighted symmetric estimator for a Gaussian first-order autoregressive AR(1 model with additive outliers. We apply the recursive median adjustment based on an exponentially weighted moving average (EWMA to the weighted symmetric estimator of Park and Fuller [4]. We consider the following estimators: the weighted symmetric estimator (, the recursive mean adjusted weighted symmetric estimator ( proposed by Niwitpong [5], the recursive median adjusted weighted symmetric estimator ( proposed by Panichkitkosolkul [6], and the weighted symmetric estimator using adjusted recursive median based on EWMA (. Using Monte Carlo simulations, we compare the mean square error (MSE of estimators. Simulation results have shown that the proposed estimator, , provides a MSE lower than those of , and  for almost all situations.

  9. Thermal and mechanical properties of novel nanocomposites from modified ordered mesoporous carbon FDU-15 and poly(methyl methacrylate)

    Energy Technology Data Exchange (ETDEWEB)

    Mohammadnezhad, Gholamhossein, E-mail: mohammadnezhad@cc.iut.ac.ir; Dinari, Mohammad, E-mail: dinari@cc.iut.ac.ir; Soltani, Roozbeh; Bozorgmehr, Zahra

    2015-08-15

    Graphical abstract: - Highlights: • The surface of mesoporous carbon, FDU-15, was modified by 3-mercaptopropyl-trimethoxysilane. • Nanocomposites of PMMA and modified FDU-15 were prepared by solution polymerization. • XRD shows that modified mesoporous FDU-15 has an ordered hexagonal mesostructure. • TEM and SEM images confirm the presence of large pores and ordered mesostructure. • Mechanical data indicated improvement in the tensile strength and modulus. - Abstract: With its well-ordered pore structure, high specific surface area and tunable pore diameters, ordered mesoporous carbons are suitable for applications in many areas of modern science and technology. In the present investigation, an ultrasonic irradiation was used for the modification of the mesoporous carbon FDU-15. Three nanocomposite films of the poly(methyl methacrylate) (PMMA) and modified FDU-15 were prepared by solution polymerization technique. The surface morphology and thermal and mechanical properties of the hybrid materials were evaluated by different methods. X-ray diffraction patterns showed that modified mesoporous FDU-15 had an ordered hexagonal mesostructure. Transmission electron microscopy (TEM) and field emission-scanning electron microscopy images confirmed the presence of large pores and a relatively ordered mesostructure for the functionalized materials. Thermogravimetric analysis data also revealed that the onset of decomposition temperature of the nanocomposites was higher than that of pristine PMMA, shifting toward higher temperatures as the amount of modified-FDU was increased. TEM images showed the well-ordered hexagonal arrays of mesopores FDU-15. Mechanical data indicated the improvement in the tensile strength and modulus with the modified FDU-15 loading. The film containing 1 wt.% of modified FDU-15 had a tensile strength of the order of 42 MPa, relative to the 28 MPa of the pristine PMMA.

  10. Characterizing trends in HIV infection among men who have sex with men in Australia by birth cohorts: results from a modified back-projection method

    Directory of Open Access Journals (Sweden)

    Wand Handan

    2009-09-01

    Full Text Available Abstract Background We set out to estimate historical trends in HIV incidence in Australian men who have sex with men with respect to age at infection and birth cohort. Methods A modified back-projection technique is applied to data from the HIV/AIDS Surveillance System in Australia, including "newly diagnosed HIV infections", "newly acquired HIV infections" and "AIDS diagnoses", to estimate trends in HIV incidence over both calendar time and age at infection. Results Our results demonstrate that since 2000, there has been an increase in new HIV infections in Australian men who have sex with men across all age groups. The estimated mean age at infection increased from ~35 years in 2000 to ~37 years in 2007. When the epidemic peaked in the mid 1980s, the majority of the infections (56% occurred among men aged 30 years and younger; 30% occurred in ages 31 to 40 years; and only ~14% of them were attributed to the group who were older than 40 years of age. In 2007, the proportion of infections occurring in persons 40 years or older doubled to 31% compared to the mid 1980s, while the proportion of infections attributed to the group younger than 30 years of age decreased to 36%. Conclusion The distribution of HIV incidence for birth cohorts by infection year suggests that the HIV epidemic continues to affect older homosexual men as much as, if not more than, younger men. The results are useful for evaluating the impact of the epidemic across successive birth cohorts and study trends among the age groups most at risk.

  11. 大学生出生次序、自尊与人际关系%The Birth Order,Self -esteem and Interpersonal Relationship of College Students

    Institute of Scientific and Technical Information of China (English)

    韩晓红

    2015-01-01

    This paper aims to explore the differences between the birth order and relationships in considering the self -esteem acts as a personality factor.We have chosen 300 students in Zhengzhou University to investigate by using the self -esteem scale and interpersonal relationships assessment scale.The results show that there are not obvious differences in self -esteem in dif-ferent birth orders,including the differences between only one or non -only -child student.The extent of troubled relation-ships and its communication and interpersonal relationship factors between only one or non -only -child student is not signifi-cant,but it is significant between the students in different birth orders.%目的:结合自尊这一人格因素探讨不同出生次序的大学生人际关系之间的差异。方法:采用自尊量表、人际关系综合诊断量表对郑州大学300名大学生进行测查。结果:独生与非独生、非独生子女中不同出生次序的大学生自尊水平差异不显著。独生与非独生子女之间的人际交往困扰总分及各因子分之间差异不显著,在非独生子女中,不同出生次序大学生在与人交谈困扰因子、人际交往困扰因子及人际关系困扰总分上差异显著。

  12. Birth Control

    Science.gov (United States)

    Birth control, also known as contraception, is designed to prevent pregnancy. Birth control methods may work in a number of different ... eggs that could be fertilized. Types include birth control pills, patches, shots, vaginal rings, and emergency contraceptive ...

  13. Selective Voltammetric Determination of Uric Acid in the Presence of Ascorbic Acid at Ordered Mesoporous Carbon Modified Electrodes

    Institute of Scientific and Technical Information of China (English)

    WEN,Yan-Li; JIA,Neng-Qin; WANG,Zhi-Yong; SHEN,He-Bai

    2008-01-01

    A novel chemically modified electrode was fabricated by immobilizing ordered mesoporous carbon (OMC)onto a glassy carbon (GC) electrode.The electrocatalytic behavior of the OMC modified electrode towards the oxidation of uric acid (UA) and ascorbic acid (AA) was studied.Compared to a glassy carbon electrode,the OMC modified electrode showed a faster electron transfer rate and reduced the overpotentials greatly.Furthermore,the OMC modified electrode resolved the overlapping voltammetric responses of UA and AA into two well-defined voltammetric peaks with peak separation of ca.0.38 V.All results show that the OMC modified electrode has a good electrocatalytic ability to UA and AA,and has an excellent response towards UA even in the presence of high concentration AA.

  14. SNP may modify the effect of vitamin A supplementation at birth on cytokine production in a whole blood culture assay

    DEFF Research Database (Denmark)

    Jørgensen, Mathias Jul; Fisker, Ane Bærent; Erikstrup, Christian

    2012-01-01

    Within a neonatal vitamin A supplementation (VAS) trial, we investigated the effect of VAS on TNF-a, IL-10, IL-5 and IL-13 production after lipopolysaccharide, purified protein derivative (PPD) of Mycobacterium tuberculosis and phytohaemagglutinin stimulation using a whole blood culture protocol....... We found that VAS recipients had lower unstimulated TNF-a concentrations than placebo recipients. In the present paper, we investigated whether the SNP TNF-a - 308, TNF-a - 238, IL-10 - 592, IL-10 - 1082 and toll-like receptor 4 (TLR4)+896 modified the effect of VAS on cytokine production. DNA...... and cytokine concentrations were available from 291 children. We found a significant interaction between TNF-a - 308 genotype and VAS for the unstimulated TNF-a production (Pinteraction = 0·04); among G homozygotes, TNF-a concentrations were significantly lower after VAS compared with placebo, whereas...

  15. Birth order and memories of traumatic and family experiences in Greek patients with borderline personality disorder versus patients with other personality disorders.

    Science.gov (United States)

    Karamanolaki, Hara; Spyropoulou, Areti C; Iliadou, Aggeliki; Vousoura, Eleni; Vondikaki, Stamatia; Pantazis, Nikos; Vaslamatzis, Grigoris

    2016-01-01

    The purpose of this study was to assess the possible effect of recalled traumatic experiences, perceived parental rearing styles, and family parameters on the occurrence of borderline personality disorder (BPD) versus other personality disorders (other-PDs). A total of 88 adult outpatients with personality disorders completed the Traumatic Antecedents Questionnaire and the Egna Minnen av Barndoms Uppfostran, which measures perceptions regarding parental rearing. Results indicated that incidence of traumatic childhood experiences was higher among those in the BPD group compared to those in the other-PD group. Firstborns were less likely to carry a diagnosis of BPD over other-PDs. Also, significantly more BPD compared to other-PD patients reported being the father's favorite child over siblings. Results suggest that traumatic experiences, birth order, and family interactions in the presence of siblings seem to differentially affect the formation of borderline diagnosis compared to other-PDs. Limitations and clinical implications of the study are discussed in detail.

  16. Rivalry, solidarity, and longevity among siblings: A life course approach to the impact of sibship composition and birth order on later life mortality risk, Antwerp (1846-1920

    Directory of Open Access Journals (Sweden)

    Robyn Donrovich

    2014-11-01

    Full Text Available Background: Family composition and household dynamics, both in early and in later life, influence individual health and longevity. Both positive and negative effects can be expected in terms of sibling size and composition. On one hand, siblings compete with each other, which may lead to resource dilution and increased adult mortality risks. On the other hand, siblings protect and care for each other, which may have a positive impact on longevity. Objective: To investigate the way in which sibling composition (with respect to sibship size, sex, and birth order in the family of orientation and the proximity of siblings in later life relates to adult mortality risks at ages 50+. Methods: Life courses of 258 men and 275 women from the Antwerp COR*-database were 'reconstructed' and analyzed by way of event history analysis using Gompertz shared frailty models. Results: Being higher in birth order related to significantly higher mortality risk after age 50 for men. Having older brothers, particularly those present in later life, was associated with very high excess mortality risk for both sexes, though men were more strongly disadvantaged. Having (more younger sisters present at RP (research person age 50 was related to significantly lower relative mortality risk for women. Conclusions: Our findings highlight the complex relationships between sibling and gender dynamics and mortality risk in later life. Evidence of a lasting impact of sibling competition on mortality risk over age 50 is found; and competition is only replaced by solidarity in critical times (e.g., widowhood, wherein older sibling presence dissimilarly impacts different social groups.

  17. A influência do gênero e ordem de nascimento sobre as práticas educativas parentais Gender and birth order as parenting moderators

    Directory of Open Access Journals (Sweden)

    Izabela Tissot Antunes Sampaio

    2010-01-01

    Full Text Available Este estudo avaliou o gênero e a ordem de nascimento como variáveis moderadoras das práticas educativas parentais e da percepção da preferência parental a partir do ponto de vista dos filhos. Participaram da pesquisa 322 adolescentes entre 13 e 17 anos. Foram utilizados dois instrumentos para a coleta de dados: Inventário de Estilos Parentais (IEP e um questionário desenvolvido pelos autores. Os dados foram analisados através da estatística não-paramétrica (Mann-Whitney e Kruskal-Wallis. Através da análise dos resultados, constatou-se que: (a o gênero dos filhos interfere significativamente nos índices de estilo parental; (b as primogênitas apresentaram significativamente maior risco de sofrer com as práticas parentais negativas e (c a percepção da preferência parental é influenciada pelo gênero e ordem de nascimento dos filhos.This study aimed at assessing gender and birth order influence on parenting and perceived parental favoritism from the children perspective. The participants were 322 adolescents aged between 13 and 17 years old. Two instruments were used to collect data - Parenting Styles Inventory and a questionnaire developed by the authors. Non-parametrical statistics (Mann-Whitney and Kruskal-Wallis were used to analyze the obtained data. Results have shown that: (a child gender has significant influence on the score of parenting styles; (b firstborn girls present significantly higher risk of suffering negative parental practices and, (c the perceived parental favoritism is significantly modulated by both gender and birth order.

  18. Sex differences in the effect of birth order and parents' educational status on stunting: a study on Bengalee preschool children from eastern India.

    Science.gov (United States)

    Biswas, Sadaruddin; Bose, Kaushik

    2010-08-01

    One of the greatest problems facing developing countries, including rural India, is undernutrition in terms of stunting among under 5-year-old children. However, there exists scanty information on the prevalence of stunting among preschool children in India and in particular in West Bengal. This study investigated prevalence of stunting and identified the predictor(s) of stunting among 1-5-year-old Bengalee rural preschool children of Integrated Child Development Services (ICDS) centres. This cross-sectional study was undertaken at different ICDS centres of Chapra Block, Nadia District, West Bengal, India. A total of 673 preschool children (323 boys and 350 girls), aged 1-5 years were selected from 30 randomly selected ICDS centres to study the impact of parents' educational status and child birth order on stunting. The overall (age and sex combined) rate of stunting was 39.2%. Child birth order (BO) (chi(2)=14.10, df=1, peducational status (FES) (chi(2)=21.11, peducational status (MES) (chi(2)=14.34, df=1, p>0.001) were significantly associated with the prevalence of stunting among girls. Logistic regression analyses revealed that both FES (Wald=19.97, por=3rd BO had significantly higher risk (OR=2.49, CI=1.54-4.03) of stunting than those with or=secondary level. Similarly, girls with MESor=secondary level. In conclusion our study revealed that BO as well as parents' educational status were strong predictors of stunting among girls but not boys. Sex discrimination could be a likely cause for this sex difference in the impact of BO and parents' educational status.

  19. 基于二孩政策的活产儿出生顺序与早产及低出生体质量关系研究%Relationship between birth order of live neonates and premature and low birth weight:a cross-sectional study due to the two-child policy

    Institute of Scientific and Technical Information of China (English)

    计德永; 王君

    2015-01-01

    目的:探讨活产儿出生顺序与早产及低出生体质量的关系,为提高人口出生质量提供参考。方法选取2013年在某市妇幼保健院分娩的所有单胎活产儿为研究对象,资料收集于新生儿出生医学信息登记系统。结果活产儿出生顺序在1~8之间(1.4±0.6),出生顺序为1占65.9%(4055/6151),出生顺序为2占29.8%(1835/6151),出生顺序为3及以上占4.2%(261/6151)。出生顺序为1、2、3及以上的活产儿的早产检出率分别为8.2%、14.1%和27.2%(趋势χ2=113.620, P<0.05),低出生体质量检出率分别为6.2%、11.1%和26.8%(趋势χ2=132.228, P<0.05)。控制产妇年龄、文化程度及户口所在地后多因素分析显示,出生顺序为2、3及以上的活产儿出现早产的危险性分别是出生顺序1的1.546倍和3.186倍,出现低出生体质量的危险性分别是出生顺序1的1.991倍和5.530倍。结论高出生顺序为早产及低出生体质量发生的高危因素。%Objective To explore the relationship between birth order and premature, low birth weight among live neonates in order to provide the basis for improving birth quality. Methods All live neonates of single birth were selected from this hospital in 2013, and the data were collected from Medical Birth Register. Results The number of birth order was 1~8 (1. 4 ± 0. 6), the proportion of first birth or-der was 65. 9% (4 055/6 151), second birth order was 29. 8% (1 835/6 151), and third or more birth order was 4. 2% (261/6 151). The prevalence rate of premature birth was 8. 2% in first birth order, 14. 1% in second birth and 27. 2% in third or more birth (χ2 =113. 620, P<0. 05), and the prevalence rate of low birth weight was 6. 2 in first birth order, 11. 1% in second birth and 26. 8% in third or more birth (χ2 =132. 228, P<0. 05). The factors of maternal age, educational level and residence were controlled and multivariate analysis showed that, the risk of premature

  20. Preterm Birth

    Science.gov (United States)

    ... is born too early, before 37 weeks of pregnancy have been completed. In 2015, preterm birth affected about 1 of every 10 infants born in the United States. Preterm birth rates decreased from 2007 to 2014, and CDC research shows ...

  1. Third-Order Doppler Parameter Estimation of Bistatic Forward-Looking SAR Based on Modified Cubic Phase Function

    Science.gov (United States)

    Li, Wenchao; Yang, Jianyu; Huang, Yulin; Kong, Lingjiang

    For Doppler parameter estimation of forward-looking SAR, the third-order Doppler parameter can not be neglected. In this paper, the azimuth signal of the transmitter fixed bistatic forward-looking SAR is modeled as a cubic polynomial phase signal (CPPS) and multiple time-overlapped CPPSs, and the modified cubic phase function is presented to estimate the third-order Doppler parameter. By combining the cubic phase function (CPF) with Radon transform, the method can give an accurate estimation of the third-order Doppler parameter. Simulations validate the effectiveness of the algorithm.

  2. An IGF-I promoter polymorphism modifies the relationships between birth weight and risk factors for cardiovascular disease and diabetes at age 36

    NARCIS (Netherlands)

    te Velde, S.J.; van Rossum, E.F.; Voorhoeve, P.G.; Twisk, J.W.; van de Delemarre Waal, H.A.; Stehouwer, C.D.A.; van Mechelen, W.; Lamberts, S.W.; Kemper, H.C.

    2005-01-01

    OBJECTIVE: To investigate whether IGF-I promoter polymorphism was associated with birth weight and risk factors for cardiovascular disease (CVD) and type 2 diabetes (T2DM), and whether the birth weight--risk factor relationship was the same for each genotype. DESIGN AND PARTICIPANTS: 264 subjects (m

  3. Birth Order and the Aviator.

    Science.gov (United States)

    1987-02-17

    Testament and the works of William Shakespeare are replete with examples showing that the ordinal position of an individual in his or her family was of...presented him with the coat-of-many-colors. Of the tragic Shakespearean figures of Macbeth and his wife, both were firstborns and saw life as only a

  4. The modified simple equation method for solving some fractional-order nonlinear equations

    Indian Academy of Sciences (India)

    KAPLAN MELIKE; BEKIR AHMET

    2016-07-01

    Nonlinear fractional differential equations are encountered in various fields of mathematics, physics, chemistry, biology, engineering and in numerous other applications. Exact solutions of these equations play a crucial role in the proper understanding of the qualitative features of many phenomena and processes in various areas of natural science. Thus, many effective and powerful methods have been established and improved. In this study, we establish exact solutions of the time fractional biological population model equation and nonlinearfractional Klein–Gordon equation by using the modified simple equation method.

  5. Modified homotopy perturbation method: Application to quadratic Riccati differential equation of fractional order

    Energy Technology Data Exchange (ETDEWEB)

    Odibat, Zaid [Prince Abdullah Bin Ghazi Faculty of Science and IT, Al-Balqa' Applied University, Salt 19117 (Jordan)], E-mail: odibat@bau.edu.jo; Momani, Shaher [Department of Mathematics, Mutah University, P.O. Box 7, Al-Karak (Jordan)], E-mail: shahermm@yahoo.com

    2008-04-15

    In this paper, a modification of He's homotopy perturbation method is presented. The new modification extends the application of the method to solve nonlinear differential equations of fractional order. In this method, which does not require a small parameter in an equation, a homotopy with an imbedding parameter p element of [0, 1] is constructed. The proposed algorithm is applied to the quadratic Riccati differential equation of fractional order. The results reveal that the method is very effective and convenient for solving nonlinear differential equations of fractional order.

  6. Assessment of higher order cognitive skills in undergraduate education: modified essay or multiple choice questions? Research paper

    Directory of Open Access Journals (Sweden)

    Palmer Edward J

    2007-11-01

    Full Text Available Abstract Background Reliable and valid written tests of higher cognitive function are difficult to produce, particularly for the assessment of clinical problem solving. Modified Essay Questions (MEQs are often used to assess these higher order abilities in preference to other forms of assessment, including multiple-choice questions (MCQs. MEQs often form a vital component of end-of-course assessments in higher education. It is not clear how effectively these questions assess higher order cognitive skills. This study was designed to assess the effectiveness of the MEQ to measure higher-order cognitive skills in an undergraduate institution. Methods An analysis of multiple-choice questions and modified essay questions (MEQs used for summative assessment in a clinical undergraduate curriculum was undertaken. A total of 50 MCQs and 139 stages of MEQs were examined, which came from three exams run over two years. The effectiveness of the questions was determined by two assessors and was defined by the questions ability to measure higher cognitive skills, as determined by a modification of Bloom's taxonomy, and its quality as determined by the presence of item writing flaws. Results Over 50% of all of the MEQs tested factual recall. This was similar to the percentage of MCQs testing factual recall. The modified essay question failed in its role of consistently assessing higher cognitive skills whereas the MCQ frequently tested more than mere recall of knowledge. Conclusion Construction of MEQs, which will assess higher order cognitive skills cannot be assumed to be a simple task. Well-constructed MCQs should be considered a satisfactory replacement for MEQs if the MEQs cannot be designed to adequately test higher order skills. Such MCQs are capable of withstanding the intellectual and statistical scrutiny imposed by a high stakes exit examination.

  7. Gummel Symmetry Test on charge based drain current expression using modified first-order hyperbolic velocity-field expression

    Science.gov (United States)

    Singh, Kirmender; Bhattacharyya, A. B.

    2017-03-01

    Gummel Symmetry Test (GST) has been a benchmark industry standard for MOSFET models and is considered as one of important tests by the modeling community. BSIM4 MOSFET model fails to pass GST as the drain current equation is not symmetrical because drain and source potentials are not referenced to bulk. BSIM6 MOSFET model overcomes this limitation by taking all terminal biases with reference to bulk and using proper velocity saturation (v -E) model. The drain current equation in BSIM6 is charge based and continuous in all regions of operation. It, however, adopts a complicated method to compute source and drain charges. In this work we propose to use conventional charge based method formulated by Enz for obtaining simpler analytical drain current expression that passes GST. For this purpose we adopt two steps: (i) In the first step we use a modified first-order hyperbolic v -E model with adjustable coefficients which is integrable, simple and accurate, and (ii) In the second we use a multiplying factor in the modified first-order hyperbolic v -E expression to obtain correct monotonic asymptotic behavior around the origin of lateral electric field. This factor is of empirical form, which is a function of drain voltage (vd) and source voltage (vs) . After considering both the above steps we obtain drain current expression whose accuracy is similar to that obtained from second-order hyperbolic v -E model. In modified first-order hyperbolic v -E expression if vd and vs is replaced by smoothing functions for the effective drain voltage (vdeff) and effective source voltage (vseff), it will as well take care of discontinuity between linear to saturation regions of operation. The condition of symmetry is shown to be satisfied by drain current and its higher order derivatives, as both of them are odd functions and their even order derivatives smoothly pass through the origin. In strong inversion region and technology node of 22 nm the GST is shown to pass till sixth-order

  8. Modified Current Differencing Unit and its Application for Electronically Reconfigurable Simple First-order Transfer Function

    Directory of Open Access Journals (Sweden)

    SOTNER, R.

    2015-02-01

    Full Text Available Modified current differencing unit (MCDU and its simple filtering application are introduced in this paper. Modification of the well-known current differencing unit consists in weighted difference of both input currents controlled by adjustable current gain, controllable intrinsic resistance of both current input terminals, and availability of additional voltage terminal(s. Definition of MCDU therefore requires four adjustable parameters (B1, B2, Rp, Rn. A presented active element offers and combines benefits of electronically controllable current conveyor of second generation and current differencing unit and allows synthesis of interesting adjustable applications, which are not available by classical approaches based on simple elements. MCDU brings variability of the transfer function into the structure. It provides several transfer types without necessity of input or output node change by simple electronic tuning. A presented structure represents so-called reconnection-less reconfigurable current-mode filter for realization of all-pass, inverting high-pass, low-pass and direct transfer response. Behavioral model of the MCDU was prepared and carefully tested in filtering application. Spice simulations and measurements confirmed theoretical assumptions.

  9. Magnetic and magnetoresistive properties of half-metallic ferromagnetic and charge ordered modified ferromagnetic manganite nanoparticles

    Science.gov (United States)

    Das, Kalipada; Das, I.

    2017-03-01

    In our present study, we address in detail magnetic and magneto-transport properties of well known half metallic La0.67Sr0.33MnO3 (LSMO) and charge order suppressed ferromagnetic La0.48Ca0.52MnO3 (LCMO) nanoparticles. The average particle size for LSMO and LCMO is ˜20 nm and ˜25 nm, respectively. With respect to their magnetic properties, both compounds exhibit ferromagnetic behavior, whereas they markedly differ in their magneto-transport characteristics. The magnetoresistive properties of LSMO nanoparticles indicate low field magnetoresistance and tendency for saturation at higher field values. In addition to the sharp low field magnetoresistance, we have achieved significantly large magnetoresistance at higher values of external magnetic field for the ferromagnetic LCMO nanoparticles. To address such anomalous behavior in these two different classes of ferromagnetic materials, we introduce the re-entrant core-shell type structure formation in charge ordered nanoparticles (LCMO) when charge ordering is completely suppressed.

  10. Birth Injury

    Science.gov (United States)

    ... Commentary Recent News Scientists Working on Solar-Powered Prosthetic Limbs Exercise a Great Prescription to Help Older Hearts Bavencio Approved for Rare Skin Cancer Older Mothers May Raise Better-Behaved Kids, Study ... lying in an abnormal position in the uterus before birth. Overall, the rate of birth injuries is much lower now than in previous decades because of improved ...

  11. Birth Weight

    Science.gov (United States)

    ... baby, taken just after he or she is born. A low birth weight is less than 5.5 pounds. A high ... weight is more than 8.8 pounds. A low birth weight baby can be born too small, too early (premature), or both. This ...

  12. Symmetry Reductions, Integrability and Solitary Wave Solutions to High-Order Modified Boussinesq Equations with Damping Term

    Institute of Scientific and Technical Information of China (English)

    YAN ZhenYa; XIE FuDing; ZHANG HongQing

    2001-01-01

    Both the direct method due to Clarkson and Kruskal and the improved direct method due to Lou are extended to reduce the high-order modified Boussinesq equation with the damping term (HMBEDT) arising in the general Fermi-Pasta-Ulam model. As a result, several types of similarity reductions are obtained. It is easy to show that the nonlinear wave equation is not integrable under the sense of AblowRz's conjecture from the reduction results obtained. In addition, kink-shaped solitary wave solutions, which are of important physical significance, are found for HMBEDT based on the obtained reduction equation.``

  13. Spontaneous preterm birth : prevention, management and outcome

    NARCIS (Netherlands)

    Vermeulen, Gustaaf Michiel

    2001-01-01

    Preterm birth (birth before 37 completed weeks of pregnancy) is a major cause of perinatal morbidity and mortality. Strategies to prevent and adequately treat preterm labour, in order to postpone birth and to identify risk factors for neonatal damage due to preterm birth, have to be developed by obs

  14. Modified economic order quantity (EOQ model for items with imperfect quality: Game-theoretical approaches

    Directory of Open Access Journals (Sweden)

    Milad Elyasi

    2014-04-01

    Full Text Available In the recent decade, studying the economic order quantity (EOQ models with imperfect quality has appealed to many researchers. Only few papers are published discussing EOQ models with imperfect items in a supply chain. In this paper, a two-echelon decentralized supply chain consisting of a manufacture and a supplier that both face just in time (JIT inventory problem is considered. It is sought to find the optimal number of the shipments and the quantity of each shipment in a way that minimizes the both manufacturer’s and the supplier’s cost functions. To the authors’ best knowledge, this is the first paper that deals with imperfect items in a decentralized supply chain. Thereby, three different game theoretical solution approaches consisting of two non-cooperative games and a cooperative game are proposed. Comparing the results of three different scenarios with those of the centralized model, the conclusions are drawn to obtain the best approach.

  15. Well-posedness and ill-posedness of the fifth-order modified KdV equation

    Directory of Open Access Journals (Sweden)

    Soonsik Kwon

    2008-01-01

    Full Text Available We consider the initial value problem of the fifth-order modified KdV equation on the Sobolev spaces. $$displaylines{ partial_t u - partial_x^5u + c_1partial_x^3(u^3 + c_2upartial_x upartial_x^2 u + c_3uupartial_x^3 u =0cr u(x,0= u_0(x }$$ where $u:mathbb{R}imesmathbb{R} o mathbb{R} $ and $c_j$'s are real. We show the local well-posedness in $H^s(mathbb{R}$ for $sgeq 3/4$ via the contraction principle on $X^{s,b}$ space. Also, we show that the solution map from data to the solutions fails to be uniformly continuous below $H^{3/4}(mathbb{R}$. The counter example is obtained by approximating the fifth order mKdV equation by the cubic NLS equation.

  16. A Family of Modified Even Order Bernoulli-Type Multiquadric Quasi-Interpolants with Any Degree Polynomial Reproduction Property

    Directory of Open Access Journals (Sweden)

    Ruifeng Wu

    2014-01-01

    shifts of the function f(x(x∈ℝ to approximate the derivatives of f(x, we propose a family of modified even order Bernoulli-type multiquadric quasi-interpolants which do not require the derivatives of the function approximated at each node and can satisfy any degree polynomial reproduction property. Error estimate indicates that our operators could provide the desired precision by choosing a suitable shape-preserving parameter c and a nonnegative integer m. Numerical comparisons show that this technique provides a higher degree of accuracy. Finally, applying our operators to the fitting of discrete solutions of initial value problems, we find that our method has smaller errors than the Runge-Kutta method of order 4 and Wang et al.’s quasi-interpolation scheme.

  17. Modified Inverse First Order Reliability Method (I-FORM) for Predicting Extreme Sea States.

    Energy Technology Data Exchange (ETDEWEB)

    Eckert-Gallup, Aubrey Celia; Sallaberry, Cedric Jean-Marie; Dallman, Ann Renee; Neary, Vincent Sinclair

    2014-09-01

    Environmental contours describing extreme sea states are generated as the input for numerical or physical model simulation s as a part of the stand ard current practice for designing marine structure s to survive extreme sea states. Such environmental contours are characterized by combinations of significant wave height ( ) and energy period ( ) values calculated for a given recurrence interval using a set of data based on hindcast simulations or buoy observations over a sufficient period of record. The use of the inverse first - order reliability method (IFORM) i s standard design practice for generating environmental contours. In this paper, the traditional appli cation of the IFORM to generating environmental contours representing extreme sea states is described in detail and its merits and drawbacks are assessed. The application of additional methods for analyzing sea state data including the use of principal component analysis (PCA) to create an uncorrelated representation of the data under consideration is proposed. A reexamination of the components of the IFORM application to the problem at hand including the use of new distribution fitting techniques are shown to contribute to the development of more accurate a nd reasonable representations of extreme sea states for use in survivability analysis for marine struc tures. Keywords: In verse FORM, Principal Component Analysis , Environmental Contours, Extreme Sea State Characteri zation, Wave Energy Converters

  18. Oxygen vacancy induced by La and Fe into ZnO nanoparticles to modify ferromagnetic ordering

    Science.gov (United States)

    Verma, Kuldeep Chand; Kotnala, R. K.

    2016-05-01

    We reported long-range ferromagnetic interactions in La doped Zn0.95Fe0.05O nanoparticles that mediated through lattice defects or vacancies. Zn0.92Fe0.05La0.03O (ZFLaO53) nanoparticles were synthesized by a sol-gel process. X-ray fluorescence spectrum of ZFLaO53 detects the weight percentage of Zn, Fe, La and O. X-ray diffraction shows the hexagonal Wurtzite ZnO phase. The Rietveld refinement has been used to calculate the lattice parameters and the position of Zn, Fe, La and O atoms in the Wurtzite unit cell. The average size of ZFLaO53 nanoparticles is 99 nm. The agglomeration type product due to OH ions with La results into ZnO nanoparticles than nanorods that found in pure ZnO and Zn0.95Fe0.05O sample. The effect of doping concentration to induce Wurtzite ZnO structure and lattice defects has been analyzed by Raman active vibrational modes. Photoluminescence spectra show an abnormal emission in both UV and visible region, and a blue shift at near band edge is formed with doping. The room temperature magnetic measurement result into weak ferromagnetism but pure ZnO is diamagnetic. However, the temperature dependent magnetic measurement using zero-field and field cooling at dc magnetizing field 500 Oe induces long-range ferromagnetic ordering. It results into antiferromagnetic Neel temperature of ZFLaO53 at around 42 K. The magnetic hysteresis is also measured at 200, 100, 50 and 10 K measurement that indicate enhancement in ferromagnetism at low temperature. Overall, the La doping into Zn0.95Fe0.05O results into enhanced antiferromagnetic interaction as well as lattice defects/vacancies. The role of the oxygen vacancy as the dominant defects in doped ZnO must form Bound magnetic polarons has been described.

  19. Preparation of Cerium (III) 12-tungstophosphoric acid/ordered mesoporous carbon composite modified electrode and its electrocatalytic properties

    Energy Technology Data Exchange (ETDEWEB)

    Liu Lin [Faculty of Chemistry, Northeast Normal University, Changchun 130024 (China); Ndamanisha, Jean Chrysostome [Universite du Burundi, Institut de pedagogie appliquee, B.P 5223 Bujumbura (Burundi); Bai Jing [Faculty of Chemistry, Northeast Normal University, Changchun 130024 (China); Guo Liping, E-mail: guolp078@nenu.edu.c [Faculty of Chemistry, Northeast Normal University, Changchun 130024 (China)

    2010-03-30

    In this work, a novel structured Cerium (III) 12-tungstophosphoric acid (CePW)/ordered mesoporous carbon (OMC) composite is synthesized. The characterization of the material by the Fourier transform infrared spectroscopy (FTIR), X-ray powder diffraction (XRD), Raman spectroscopy, scanning electron microscopy (SEM), X-ray photoelectron spectroscopy (XPS) and electrochemical characterization shows that the novel CePW/OMC composite has improved properties based on the combination of CePW and OMC properties. CePW/OMC can be used to modify the glassy carbon (GC) electrode and the CePW/OMC/GC modified electrode shows an enhanced electrocatalytic activity. This property can be applied in the determination of some biomolecules. Especially, the detection and determination of the guanine (G) in the presence of adenine (A) is achieved. The catalytic current of G versus its concentration shows a good linearity with two good linear ranges from 4.0 x 10{sup -6} to 8.0 x 10{sup -5} M and from 8.0 x 10{sup -5} to 1.9 x 10{sup -3} M (correlation coefficient = 0.999 and 0.996) with a detection limit of 5.7 x 10{sup -9} M (S/N = 3). The linear range for adenine is 4.0 x 10{sup -6}-7.0 x 10{sup -4} M with a detection limit of 7.45 x 10{sup -8} M. With good stability and reproducibility, the present CePW/OMC/GC modified electrode should be a good model for constructing a novel and promising electrochemical sensing platform for further electrochemical detection of other biomolecules.

  20. Osseointegration properties of titanium dental implants modified with a nanostructured coating based on ordered porous silica and bioactive glass nanoparticles

    Science.gov (United States)

    Covarrubias, Cristian; Mattmann, Matías; Von Marttens, Alfredo; Caviedes, Pablo; Arriagada, Cristián; Valenzuela, Francisco; Rodríguez, Juan Pablo; Corral, Camila

    2016-02-01

    The fabrication of a nanoporous silica coating loaded with bioactive glass nanoparticles (nBG/NSC) on titanium dental implant surface and its in vitro and in vivo evaluation is presented. The coating was produced by a combined sol-gel and evaporation induced self-assembly process. In vitro bioactivity was assessed in simulated body fluid (SBF) and investigating the osteogenic differentiation of human bone marrow mesenchymal stem cells (hBMSCs). A rat tibial model was employed to analyze the bone response to nBG/NSC-modified titanium implant surface in vivo. The nBG/NSC coating was confirmed at nano level to be constituted by a highly ordered nanoporous silica structure. The coating nanotopography in conjunction with the bioactivity of the BG particles accelerate the in vitro apatite formation and promote the osteogenic differentiation of hBMSCs in absence of osteogenic supplements. These properties accelerate the formation of bone tissue in the periphery of the implant after 3 weeks of implantation. Backscattered scanning electron microscopy images revealed the presence of gaps and soft tissue in the unmodified implant after 6 weeks, whereas the nBG/NSC-modified implant showed mature bone in intimate contact with the implant surface. The nBG/NSC coating appears promising for accelerating the osseointegration of dental implants.

  1. Birth Control Methods

    Science.gov (United States)

    ... Home A-Z Health Topics Birth control methods Birth control methods > A-Z Health Topics Birth control methods ... To receive Publications email updates Enter email Submit Birth control methods Birth control (contraception) is any method, medicine, ...

  2. Osseointegration properties of titanium dental implants modified with a nanostructured coating based on ordered porous silica and bioactive glass nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Covarrubias, Cristian, E-mail: ccovarrubias@odontologia.uchile.cl [Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago (Chile); Mattmann, Matías [Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago (Chile); Von Marttens, Alfredo [Department of Prosthesis, Faculty of Dentistry, University of Chile, Santiago (Chile); Caviedes, Pablo; Arriagada, Cristián [Laboratory of Cell Therapy, ICBM, Faculty of Medicine, University of Chile (Chile); Valenzuela, Francisco [Laboratory of Nanobiomaterials, Institute for Research in Dental Sciences, Faculty of Dentistry, University of Chile, Santiago (Chile); Rodríguez, Juan Pablo [Laboratory of Cell Biology, INTA, University of Chile, Santiago (Chile); Corral, Camila [Department of Restorative Dentistry, Faculty of Dentistry, University of Chile, Santiago (Chile)

    2016-02-15

    Graphical abstract: - Highlights: • The fabrication of a coating for osseointegration of titanium implant is presented. • The coating consists of nanoporous silica loaded with bioactive glass nanoparticles. • Coating accelerates the in vitro formation of apatite in simulated body fluid. • Coating promotes the osteogenic differentiation of stem cells. • Coating accelerates the formation of bone tissue in the periphery of the implant. - Abstract: The fabrication of a nanoporous silica coating loaded with bioactive glass nanoparticles (nBG/NSC) on titanium dental implant surface and its in vitro and in vivo evaluation is presented. The coating was produced by a combined sol–gel and evaporation induced self-assembly process. In vitro bioactivity was assessed in simulated body fluid (SBF) and investigating the osteogenic differentiation of human bone marrow mesenchymal stem cells (hBMSCs). A rat tibial model was employed to analyze the bone response to nBG/NSC-modified titanium implant surface in vivo. The nBG/NSC coating was confirmed at nano level to be constituted by a highly ordered nanoporous silica structure. The coating nanotopography in conjunction with the bioactivity of the BG particles accelerate the in vitro apatite formation and promote the osteogenic differentiation of hBMSCs in absence of osteogenic supplements. These properties accelerate the formation of bone tissue in the periphery of the implant after 3 weeks of implantation. Backscattered scanning electron microscopy images revealed the presence of gaps and soft tissue in the unmodified implant after 6 weeks, whereas the nBG/NSC-modified implant showed mature bone in intimate contact with the implant surface. The nBG/NSC coating appears promising for accelerating the osseointegration of dental implants.

  3. Birth Plans

    Science.gov (United States)

    ... These range from how you hope to handle pain relief to fetal monitoring. Think about the environment in which you ... include in your birth plan are preferences about fetal monitoring, extra ... during labor. Pain management. This is important for most women and ...

  4. Age-associated DNA methylation changes in immune genes, histone modifiers and chromatin remodeling factors within 5 years after birth in human blood leukocytes

    DEFF Research Database (Denmark)

    Acevedo, Nathalie; Reinius, Lovisa E; Vitezic, Morana;

    2015-01-01

    the dynamics of DNA methylation. Serial blood samples were collected at 3, 6, 12, 24, 36, 48 and 60 months after birth in ten healthy girls born in Finland and participating in the Type 1 Diabetes Prediction and Prevention Study. DNA methylation was measured using the HumanMethylation450 BeadChip. RESULTS......: After filtering for the presence of polymorphisms and cell-lineage-specific signatures, 794 CpG sites showed significant DNA methylation differences as a function of age in all children (41.6% age-methylated and 58.4% age-demethylated, Bonferroni-corrected P value ... performing DNA methylation studies in children....

  5. Interatomic Potential for Hydrocarbons on the Basis of the Modified Embedded-Atom Method with Bond Order (MEAM-BO).

    Science.gov (United States)

    Mun, Sungkwang; Bowman, Andrew L; Nouranian, Sasan; Gwaltney, Steven R; Baskes, Michael I; Horstemeyer, Mark F

    2017-02-23

    In this paper, we develop a new modified embedded atom method (MEAM) potential that includes the bond order (MEAM-BO) to describe the energetics of unsaturated hydrocarbons (double and triple carbon bonds) and also develop improved parameters for saturated hydrocarbons from those of our previous work. Such quantities like bond lengths, bond angles, and atomization energies at 0 K, dimer molecule interactions, rotational barriers, and the pressure-volume-temperature relationships of dense systems of small molecules give a comparable or more accurate property relative to experimental and first-principles data than the classical reactive force fields REBO and ReaxFF. Our extension of the MEAM potential for unsaturated hydrocarbons (MEAM-BO) is a step toward developing more reliable and accurate polymer simulations with their associated structure-property relationships, such as reactive multicomponent (organic/metal) systems, polymer-metal interfaces, and nanocomposites. When the constants for the BO are zero, MEAM-BO reduces to the original MEAM potential. As such, this MEAM-BO potential describing the interaction of organic materials with metals within the same MEAM formalism is a significant advancement for computational materials science.

  6. Personality and birth order in monozygotic twins adopted apart: a test of Sulloway's theory; Research Reviews: twin births and cancer risk in mothers, male sexual dysfunction, twin study of ultimatum game behavior; Human Interest: 'The Land of Twins', twin-like reunion-I, twin-like reunion-II.

    Science.gov (United States)

    Segal, Nancy L

    2008-02-01

    A brief overview of Sulloway's (1996) theory of birth order and personality is presented. A reared apart twin approach for testing his personality findings regarding openness to experience and conscientiousness in first borns and later borns is described. This is followed by summaries of three recent twin studies. The topics include cancer risk in mother of twins, sexual dysfunction in males and responder behavior during ultimatum games. This article concludes with a discussion of twinning rates and rituals among the Yoruba of western Nigeria, and descriptions of two unusual reunions between siblings and twins.

  7. Fractional Pure Birth Processes

    CERN Document Server

    Orsingher, Enzo; 10.3150/09-BEJ235

    2010-01-01

    We consider a fractional version of the classical non-linear birth process of which the Yule-Furry model is a particular case. Fractionality is obtained by replacing the first-order time derivative in the difference-differential equations which govern the probability law of the process, with the Dzherbashyan-Caputo fractional derivative. We derive the probability distribution of the number $ \\mathcal{N}_\

  8. Missing girls in India: infanticide, feticide and made-to-order pregnancies? Insights from hospital-based sex-ratio-at-birth over the last century.

    Directory of Open Access Journals (Sweden)

    Mohit Sahni

    Full Text Available BACKGROUND: There are 44 million missing women in India. Gender bias; neglect of girls, infanticides and feticides are responsible. The sex ratio at birth can be used to examine the influence of antenatal sex selection on the sex ratio. MATERIALS AND METHODS: Records from 321,991 deliveries at one hospital over 11 decades were utilized. The middle year in each decade was taken as representative of the decade. Data from 33,524 deliveries were then analyzed. Data for each decade was combined with that of previous decades and compared to the data of subsequent decades to look for any change in the trend. Sex ratio in the second children against sex of the first child was studied separately. RESULTS: The mean sex ratio for the 110 years examined was 910 girls to 1000 boys (95% CI; 891 to 930. The sex ratio dropped significantly from 935 (CI: 905 to 967 before 1979, to 892 (CI: 868 to 918 after 1980 (P = 0.04. The sex ratio in the second child was significantly lower if the first child was a girl [716 (CI: 672 to 762] (P<0.001. On the other hand, there was an excess of girls born to mothers whose first child was boy [1140 girls per 1000 boys (CI: 1072 to 1212 P<0.001]. CONCLUSIONS: The sex ratio fell significantly after 1980 when ultra sound machines for antenatal sex determination became available. The sex ratio in second children if the first was a girl was even lower. Sex selective abortions after antenatal sex determination are thus implicated. However data on second children especially the excess of girls born to mothers who have a previous boy seen in the decade before the advent of antenatal ultra sound machines, suggests that other means of sex selection are also used.

  9. Birth cohorts

    DEFF Research Database (Denmark)

    Andersen, Anne-Marie Nybo; Madsen, Mia

    2009-01-01

    ; provides practical guidance on how to set-up and maintain birth cohorts for completing family-based studies in life course epidemiology; describes how to undertake appropriate statistical analyses of family-based studies and correctly interpret results from these analyses; and provides examples...... that illustrate the ways in which family-based studies can enhance our understanding of life course epidemiology. In addition, there is discussion of difficulties specific to setting up such studies in low- and middle-income countries, and issues relating to proxy informants, where parents provide information...... on children and vice versa, or siblings provide information about each other. Examples of how family-based studies have been used in understanding the life course epidemiology of cardiovascular disease, mental health, and reproductive health illustrate the applicability of the research to these areas...

  10. Meal frequencies modify the effect of common genetic variants on body mass index in adolescents of the northern Finland birth cohort 1986.

    Directory of Open Access Journals (Sweden)

    Anne Jääskeläinen

    Full Text Available Recent studies suggest that meal frequencies influence the risk of obesity in children and adolescents. It has also been shown that multiple genetic loci predispose to obesity already in youth. However, it is unknown whether meal frequencies could modulate the association between single nucleotide polymorphisms (SNPs and the risk of obesity. We examined the effect of two meal patterns on weekdays -5 meals including breakfast (regular and ≤ 4 meals with or without breakfast (meal skipping - on the genetic susceptibility to increased body mass index (BMI in Finnish adolescents. Eight variants representing 8 early-life obesity-susceptibility loci, including FTO and MC4R, were genotyped in 2215 boys and 2449 girls aged 16 years from the population-based Northern Finland Birth Cohort 1986. A genetic risk score (GRS was calculated for each individual by summing the number of BMI-increasing alleles across the 8 loci. Weight and height were measured and dietary data were collected using self-administered questionnaires. Among meal skippers, the difference in BMI between high-GRS and low-GRS (<8 and ≥ 8 BMI-increasing alleles groups was 0.90 (95% CI 0.63,1.17 kg/m(2, whereas in regular eaters, this difference was 0.32 (95% CI 0.06,0.57 kg/m(2 (p interaction = 0.003. The effect of each MC4R rs17782313 risk allele on BMI in meal skippers (0.47 [95% CI 0.22,0.73] kg/m(2 was nearly three-fold compared with regular eaters (0.18 [95% CI -0.06,0.41] kg/m(2 (p interaction = 0.016. Further, the per-allele effect of the FTO rs1421085 was 0.24 (95% CI 0.05,0.42 kg/m(2 in regular eaters and 0.46 (95% CI 0.27,0.66 kg/m(2 in meal skippers but the interaction between FTO genotype and meal frequencies on BMI was significant only in boys (p interaction = 0.015. In summary, the regular five-meal pattern attenuated the increasing effect of common SNPs on BMI in adolescents. Considering the epidemic of obesity in youth, the promotion of regular eating may have

  11. BIRTH INTERVAL AMONG NOMAD WOMEN

    Directory of Open Access Journals (Sweden)

    E.Keyvan

    1976-06-01

    Full Text Available To have an, idea about the relation between the length of birth interval and lactation, and birth control program this study have been done. The material for such analysis was nomad women's fertility history that was in their reproductive period (15-44. The material itself was gathered through a health survey. The main sample was composed of 2,165 qualified women, of whom 49 due to previous or presently using contraceptive methods and 10 for the lack of enough data were excluded from 'this study. Purpose of analysis was to find a relation between No. of live births and pregnancies with total duration of married life (in other word, total months which the women were at risk of pregnancy. 2,106 women which their fertility history was analyzed had a totally of272, 502 months married life. During this time 8,520 live births did occurred which gave a birth interval of 32 months. As pregnancy termination could be through either live birth, still birth or abortion (induced or spontaneous, bringing all together will give No. of pregnancies which have occurred during this period (8,520 + 124 + 328 = 8,972 with an average of interpregnancy interval of 30.3 months. Considering the length of components of birth interval: Post partum amenorrhea which depends upon lactation. - Anovulatory cycles (2 month - Ooulatory exposure, in the absence of contraceptive methods (5 months - Pregnancy (9 months.Difference between the length, of birth interval from the sum of the mentioned period (except the first component, (2 + 5+ 9 = 16 will be duration of post partum amenorrhea (32 - 16 = 16, or in other word duration of breast feeding among nomad women. In this study it was found that, in order to reduce birth by 50% a contraceptive method with 87% effectiveness is needed.

  12. Modified Decomposition Method with New Inverse Differential Operators for Solving Singular Nonlinear IVPs in First- and Second-Order PDEs Arising in Fluid Mechanics

    Directory of Open Access Journals (Sweden)

    Nemat Dalir

    2014-01-01

    Full Text Available Singular nonlinear initial-value problems (IVPs in first-order and second-order partial differential equations (PDEs arising in fluid mechanics are semianalytically solved. To achieve this, the modified decomposition method (MDM is used in conjunction with some new inverse differential operators. In other words, new inverse differential operators are developed for the MDM and used with the MDM to solve first- and second-order singular nonlinear PDEs. The results of the solutions by the MDM together with new inverse operators are compared with the existing exact analytical solutions. The comparisons show excellent agreement.

  13. CDC WONDER: Births

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Births (Natality) online databases in CDC WONDER report birth rates, fertility rates and counts of live births occurring within the United States to U.S....

  14. Birth Control Explorer

    Science.gov (United States)

    ... STIs Media Facebook Twitter Tumblr Shares · 467 Birth Control Explorer Sort by all methods most effective methods ... You are here Home » Birth Control Explorer Birth Control Explorer If you’re having sex —or if ...

  15. Birth control pills - combination

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000655.htm Birth control pills - combination To use the sharing features on ... both progestin and estrogen. What Are Combination Birth Control Pills? Birth control pills help keep you from ...

  16. Essure Permanent Birth Control

    Science.gov (United States)

    ... Prosthetics Essure Permanent Birth Control Essure Permanent Birth Control Share Tweet Linkedin Pin it More sharing options ... System Essure is a a permanently implanted birth control device for women (female sterilization). Implantation of Essure ...

  17. Coffee Consumption During Pregnancy and Birth Weight

    DEFF Research Database (Denmark)

    Bech, Bodil Hammer; Frydenberg, Morten; Henriksen, Tine Brink

    2015-01-01

    Background: A previous randomized trial demonstrated an association between coffee intake and birth weight in smokers only. This could be a chance finding or because smoking interferes with caffeine metabolism. This study assessed the association between coffee intake during pregnancy and birth...... weight and whether it was modified by the mothers' smoking habits. Methods: In the Danish National Birth Cohort, coffee intake and smoking during pregnancy were recorded prospectively in 89,539 pregnancies that ended with live born singletons. Information on birth weight was obtained from the Danish...... Medical Birth Register. For a total of 71,000 pregnancies, complete information was available on coffee intake and all covariates for the second trimester. Results: Second-trimester coffee intake was associated with reduced birth weight in a dose–response pattern for non-smokers and smokers (9 g...

  18. A dark energy with higher order derivatives of $H$ in the modified gravity $f(R,T)$

    CERN Document Server

    Pasqua, Antonio; Myrzakulov, Ratbay

    2013-01-01

    In this paper, we consider a recently proposed model of Dark Energy (DE) which contains three terms (one proportional to the squared Hubble parameter, one to the first derivative with respect to the cosmic time of the Hubble parameter and one proportional to the second derivative with respect to the cosmic time of the Hubble parameter) in the light of the $f\\left(R,T \\right)$ model of modified gravity, considering the particular model $f\\left(R,T \\right) = \\mu R + \

  19. Modified Projective Synchronization between Different Fractional-Order Systems Based on Open-Plus-Closed-Loop Control and Its Application in Image Encryption

    Directory of Open Access Journals (Sweden)

    Hongjuan Liu

    2014-01-01

    Full Text Available A new general and systematic coupling scheme is developed to achieve the modified projective synchronization (MPS of different fractional-order systems under parameter mismatch via the Open-Plus-Closed-Loop (OPCL control. Based on the stability theorem of linear fractional-order systems, some sufficient conditions for MPS are proposed. Two groups of numerical simulations on the incommensurate fraction-order system and commensurate fraction-order system are presented to justify the theoretical analysis. Due to the unpredictability of the scale factors and the use of fractional-order systems, the chaotic data from the MPS is selected to encrypt a plain image to obtain higher security. Simulation results show that our method is efficient with a large key space, high sensitivity to encryption keys, resistance to attack of differential attacks, and statistical analysis.

  20. Higher-order approximate solutions to the relativistic and Duffing-harmonic oscillators by modified He's homotopy methods

    Energy Technology Data Exchange (ETDEWEB)

    Belendez, A [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain); Pascual, C [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain); Fernandez, E [Departamento de Optica, FarmacologIa y AnatomIa, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain); Neipp, C [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain); Belendez, T [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain)

    2008-02-15

    A modified He's homotopy perturbation method is used to calculate higher-order analytical approximate solutions to the relativistic and Duffing-harmonic oscillators. The He's homotopy perturbation method is modified by truncating the infinite series corresponding to the first-order approximate solution before introducing this solution in the second-order linear differential equation, and so on. We find this modified homotopy perturbation method works very well for the whole range of initial amplitudes, and the excellent agreement of the approximate frequencies and periodic solutions with the exact ones has been demonstrated and discussed. The approximate formulae obtained show excellent agreement with the exact solutions, and are valid for small as well as large amplitudes of oscillation, including the limiting cases of amplitude approaching zero and infinity. For the relativistic oscillator, only one iteration leads to high accuracy of the solutions with a maximal relative error for the approximate frequency of less than 1.6% for small and large values of oscillation amplitude, while this relative error is 0.65% for two iterations with two harmonics and as low as 0.18% when three harmonics are considered in the second approximation. For the Duffing-harmonic oscillator the relative error is as low as 0.078% when the second approximation is considered. Comparison of the result obtained using this method with those obtained by the harmonic balance methods reveals that the former is very effective and convenient.

  1. A Pleasing Birth

    NARCIS (Netherlands)

    Vries, De Raymond

    2005-01-01

    Women have long searched for a pleasing birth-a birth with a minimum of fear and pain, in the company of supportive family, friends, and caregivers, a birth that ends with a healthy mother and baby gazing into each other's eyes. For women in the Netherlands, such a birth is defined as one at home un

  2. Application of a modified He's homotopy perturbation method to obtain higher-order approximations of an x{sup 1/3} force nonlinear oscillator

    Energy Technology Data Exchange (ETDEWEB)

    Belendez, A. [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain)], E-mail: a.belendez@ua.es; Pascual, C.; Gallego, S.; Ortuno, M.; Neipp, C. [Departamento de Fisica, Ingenieria de Sistemas y Teoria de la Senal, Universidad de Alicante, Apartado 99, E-03080 Alicante (Spain)

    2007-11-26

    A modified He's homotopy perturbation method (HHPM) is used to calculate the periodic solutions of a conservative nonlinear oscillator for which the elastic force term is proportional to x{sup 1/3}. The He's homotopy perturbation method is modified by truncating the infinite series corresponding to the first-order approximate solution before introducing this solution in the second-order linear differential equation, and so on. We find this modified HHPM works very well for the whole range of initial amplitudes, and the excellent agreement of the approximate frequencies and periodic solutions with the exact ones has been demonstrated and discussed. Only one iteration leads to high accuracy of the solutions with a maximal relative error for the approximate frequency of less than 0.6% for small and large values of oscillation amplitude, while this relative error is 0.17% for the second iteration and as low as 0.024% when the third approximation is considered. Comparison of the result obtained using this method with those obtained by different harmonic balance methods reveals that the former is very effective and convenient.

  3. Improved consistency in DNPH-mediated pyruvic acid analysis of onion juice by modifying the sample processing order.

    Science.gov (United States)

    Yoo, Kil Sun; Lee, Eun Jin; Patil, Bhimanagouda S

    2011-01-01

    Onion pungency is commonly measured on absorbency of the wine pink color that results from adding NaOH to the heated mixture of dinitrophenylhydrazine (DNPH) and onion juice. However, significant variation exists among several modifications of the original Schwimmer and Weston (SW) method. We observed differences in pyruvic acid concentrations of 20%-30% between our automated method and a batch method with manual absorbency readings. To determine the source of the differences, we examined the heating time and waiting time of the sample-DNPH mixtures and found no differences. The differences were caused by differential color degradation between the pyruvic acid standards and onion juice samples. These differences could be minimized by reading the absorbency within 1 min of NaOH addition. Using this information, we devised the one-by-one method to control the reading time at 30 s. We compared 5 different analysis methods of 40 onion samples representing 4 onion colors. The automated, high-performance liquid chromatography, and SW methods had similar results, with only about a 5% difference. However, the batch method resulted in differences of approximately 24% as compared to the automated method. The one-by-one method produced very comparable results, within 5%, to the automated method. By modifying the procedure to ensure a uniform and fast reading time, we increased the consistency between the pungency analysis methods. Therefore, fast and uniform absorbency reading time is essential for an accurate measurement of pungency in undiluted onion juice.

  4. SONOCHEMICALLY MODIFIED WHEAT STRAW FOR PULP AND PAPERMAKING IN ORDER TO INCREASE ITS ECONOMICAL RATES AND REDUCE THE ENVIRONMENTAL ISSUES

    Directory of Open Access Journals (Sweden)

    Levente Csoka

    2008-02-01

    Full Text Available Wheat straw (an agricultural by-product was pulped by an alkaline anthraquinone (AQ process. Then the straw pulp was treated by high-power ultrasound under different noble-gas (argon, krypton, xenon combinations. The pulps’ degree of beating and acid-insoluble lignin content were measured. Handsheets were made from sonicated and control pulps and tested for paper tensile strength. In this study we explore which noble-gas combination with ultrasound may be more useable to reduce the lignin content and enhance fibrillation. We also describe the most effective ultrasound-assisted, modified alkaline pulping process. Overall, we found that in two steps ultrasonification decreased the residual lignin contents more then 75 %, the pulp fibrillation increased from 12 to 70 °SR within 20 min. of ultrasound irradiation, and the tensile index of the handsheets increased by 65%. For sustainable paper production, it is required to develop alternative paper resources. Paper made from alternate fiber resources with efficient technology will improve our living standards without sacrificing the environment, our habitat. High frequency ultrasound-based pulp processing offers significant improvements, and it reduces energy and chemical consump-tions for pulp and paper production.

  5. Birth Order on Personality Characteristics and Mental Health of College Students Empirical Study%出生顺序对大学生人格及心理健康的影响研究

    Institute of Scientific and Technical Information of China (English)

    黄艳苹; 李玲

    2011-01-01

    Objective: Students of birth order on personality and mental health status. Methods: This study examined 11,183 students in a university in Guangzhou in the birth order of their personality characteristics and mental health. Conclusion: in terms of personality. the most outgoing child, second son of the second, the eldest son of the most introverted (F=9.215,P<0.01) ; on the neuroticism factor, most vulnerable to anxiety and tension eldest son, second son of the second, the most stable one-child emotional(F=3.194, P<0.05); the second, the most stable one-child emotional; the second son of the highest cover, that is most vulnerable to the impact of social desirability, and child to cover the lowest (F=7.545,P<0.01).ln mental health, the highest level of child mental health, the eldest son, second son and youngest son among the mental health there were no significant differences (F=7.575 , P<0.05) .%目的:了解出生顺序对大学生人格及心理健康的影响状况.方法:调查广州某高校11183名大学生的出生顺序,分析其对人格特征和心理健康的影响.结果:在人格特征方面,独生子女最为外向;长子最为内向(F=9.215,P<0.01),次子次之;在神经质因子上,长子最易焦虑与紧张,次子次之,独生子女情绪最稳定(F=3.194,P<0.05);次子的掩饰性最高,即最容易受社会赞许性的影响,而独生子女掩饰性最低(F=7.545,P<0.01);在心理健康方面,独生子女的心理健康水平最高,长子、次子和幼子的心理健康3者之间没有显著性差异(F=7.575,P<0.05).

  6. Kinetic Model of Biogas Yield Production from Vinasse at Various Initial pH: Comparison between Modified Gompertz Model and First Order Kinetic Model

    Directory of Open Access Journals (Sweden)

    Budiyono

    2014-04-01

    Full Text Available Anaerobic treatment using anaerobic digestion can convert organic materials of vinasse into biogas. The purpose of this study was modeling kinetic of biogas production using modified Gompertz model and first order kinetic model at variation of initial pH. Substrates were consisted of two kinds of compositions, which were vinasse+rumen (VR and vinasse+rumen+urea (VRU. Initial pH in each substrate was 6, 7 and 8. Degradation process was done in 30 days using batch anaerobic digesters at room temperature. Both, at VR and VRU, initial pH of 7 generated the more total biogas than the others two (initial pH of 6 and 8. Biogas formed at substrate of VRU was more than that at substrate of VR. The best condition was substrate of VRU and initial pH of 7. At best condition, kinetic constants of biogas production model using modified Gompertz were ym (biogas production potential = 6.49 mL/g VS; U (maximum biogas production rate = 1.24 mL/g VS. day; &lambda (minimum time to produce biogas = 1.79 days. Whereas kinetic constants of biogas production model using first order kinetic were ym (biogas production potential = 6.78 mL/g VS; k (biogas production rate = 0.176 /day. The difference between the predicted and measured biogas yield (fitting error was higher with the first-order kinetic model (1.54-7.50% than with the modified Gompertz model (0.76-3.14%.

  7. Reaction rate reconstruction from biomass concentration measurement in bioreactors using modified second-order sliding mode algorithms.

    Science.gov (United States)

    De Battista, Hernán; Picó, Jesús; Garelli, Fabricio; Navarro, José Luis

    2012-11-01

    This paper deals with the estimation of unknown signals in bioreactors using sliding observers. Particular attention is drawn to estimate the specific growth rate of microorganisms from measurement of biomass concentration. In a recent article, notions of high-order sliding modes have been used to derive a growth rate observer for batch processes. In this paper we generalize and refine these preliminary results. We develop a new observer with a different error structure to cope with other types of processes. Furthermore, we show that these observers are equivalent, under coordinate transformations and time scaling, to the classical super-twisting differentiator algorithm, thus inheriting all its distinctive features. The new observers' family achieves convergence to time-varying unknown signals in finite time, and presents the best attainable estimation error order in the presence of noise. In addition, the observers are robust to modeling and parameter uncertainties since they are based on minimal assumptions on bioprocess dynamics. In addition, they have interesting applications in fault detection and monitoring. The observers performance in batch, fed-batch and continuous bioreactors is assessed by experimental data obtained from the fermentation of Saccharomyces Cerevisiae on glucose.

  8. Ceria modified three-dimensionally ordered macro-porous Pt/TiO2 catalysts for water-gas shift reaction

    Institute of Scientific and Technical Information of China (English)

    LIANG Hao; ZHANG Yuan; LIU Yuan

    2009-01-01

    Three-dimensionally ordered macro-porous(3DOM) TiO2 and ceria-modified 3DOM TiO2 supported platinum catalysts were pre-pared with template and impregnation methods, and the resultant samples were characterized by scanning electron microscopy(SEM), X-ray dif-fractometer(XRD), high-resolution transmission electron microscopy(HRTEM) and texture programmed reduction(TPR) techniques. The catalytic performances over the platinum-based catalysts were investigated for water-gas shift (WGS) reaction in a wide temperature range macro-porous catalyst, owing to the macro-porous structure favoring mass uansfer. Addition of ceria into 3DOM Pt/TiO2 led to improvement of catalytic activity. TPR and HRTEM results showed that the interaction existed between ceria and titanium oxide and addition of ceria promoted the reducibility of platinum oxide and TiO2 on the interface of platinum and TiO2 particles, which contributed to high activity of the ceria modi-fied catalysts. The results indicated that ceria-modified 3DOM Pt/TiO2 was a promising candidate of fuel cell oriented WGS catalyst.

  9. Planned hospital birth versus planned home birth

    DEFF Research Database (Denmark)

    Olsen, O.; Clausen, J.A.

    2012-01-01

    Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998....

  10. Amine-modified ordered mesoporous silica: The effect of pore size on CO{sub 2} capture performance

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Lin; Yao, Manli [Key Laboratory of the Ministry of Education for Advanced Catalysis Materials, Institute of Physical Chemistry, Zhejiang Normal University, Jinhua 321004 (China); Hu, Xin [College of Chemistry and Life Sciences, Zhejiang Normal University, Jinhua 321004 (China); Hu, Gengshen, E-mail: gshu@zjnu.edu.cn [Key Laboratory of the Ministry of Education for Advanced Catalysis Materials, Institute of Physical Chemistry, Zhejiang Normal University, Jinhua 321004 (China); Lu, Jiqing; Luo, Mengfei [Key Laboratory of the Ministry of Education for Advanced Catalysis Materials, Institute of Physical Chemistry, Zhejiang Normal University, Jinhua 321004 (China); Fan, Maohong, E-mail: mfan@uwyo.edu [Department of Chemical and Petroleum Engineering, University of Wyoming, Laramie, WY 82071 (United States)

    2015-01-01

    Highlights: • Larger pore size could decrease the mass transfer resistance and increase the interaction between CO{sub 2} and TEPA. • The CO{sub 2} uptakes of sorbents were enhanced in the presence of moisture. • The sorbents are stable and regenerable under test conditions. - Abstract: The objective of current research is to investigate the effect of pore size of mesoporous silica supports on the CO{sub 2} capture performance of solid amine sorbents. Two ordered mesoporous silicas (OMS) with different pore sizes (5.6 nm and 7.6 nm) were synthesized as tetraethylenepentamine (TEPA) supports. A serious of techniques, such as physical adsorption, infrared spectroscopy and thermal gravimetric analysis were used to characterize the solid amine sorbents. The CO{sub 2} capture performances of the sorbents were evaluated using breakthrough method with a fixed-bed reactor equipped with an online mass spectrometer. The experimental results indicate that the pore size has significant influence on CO{sub 2} capture performance. Larger pore size could decrease the mass transfer resistance and increase the interaction between CO{sub 2} and TEPA. Therefore, OMS-7.6 is better than OMS-5.6 as amine support. The highest CO{sub 2} sorption capacities achieved with OMS-7.6 with 50 wt% TEPA loading (OMS-7.6-50) in the absence and presence of moisture are 3.45 mmol/g and 4.28 mmol/g, respectively, under the conditions of 10.0% CO{sub 2}/N{sub 2} mixture at 75 °C. Cyclic CO{sub 2} adsorption–desorption experiments indicate that the solid amine sorbents are fairly stable and regenerable.

  11. Order-disorder correlation on local structure and photo-electrical properties of La3+ ion modified BZT ceramics

    Science.gov (United States)

    Ghosh, S. K.; Ganguly, M.; Rout, S. K.; Sinha, T. P.

    2015-04-01

    Rare earth lanthanum (La) doped barium zirconate titanate, Ba1 - x La2 x/3Zr0.3Ti0.7O3 (BLZT) ceramics, with x = 0.00, 0.02, 0.04, 0.06, 0.08 and 0.10 were prepared using solid state reaction route. Structural characterizations of the materials were done by using X-ray diffraction and Raman spectroscopy. The Rietveld refinement technique employed to investigate the details of the crystal structure revealed a single phase cubic perovskite structure for all the compositions, belonging to the space group Pm-3m. Raman spectroscopy was used to probe the order-disorder correlation in local symmetry and it was verified that the presence of disorder in cubic structure is increased due to La3+ ion substitution at A-site. In addition, the signature of relaxor behavior and diffuse types of phase transition can be detected by monitoring the relative intensity of Raman features. Room temperature photo-electronic properties were investigated by using ultraviolet-visible (UV-Vis) and photoluminescence (PL) spectroscopy. Heterovalent doping (La3+) is accompanied by creation of ionic defects to maintain the charge neutrality; as a result the intermediate energy levels are formed within the band gap. These intermediate energy levels play a significant role in electronic band transitions in higher La concentration, x ≥ 0.08; enhancing the self-trapping mechanism leads to slightly decreasing in band gap values and shifting the PL emission spectra towards violet-blue regions. The temperature dependence of the dielectric constant was investigated and relaxor type of phase transition was observed in the material. The degree of relaxor behavior was enhanced with increase in La3+ ion concentration.

  12. Birth control pill - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100108.htm Birth control pill - series—Normal female anatomy To use the ... produce a successful pregnancy. To prevent pregnancy, birth control pills affect how these organs normally function. Review ...

  13. Preterm Labor and Birth

    Science.gov (United States)

    ... Scientific Name Preterm labor Preterm birth Preterm infant Late-preterm birth ... first-time pregnancies No benefit in treating mildly low thyroid function in pregnancy, NIH Network study finds ...

  14. Encyclopedia of Birth Control.

    Science.gov (United States)

    Rengel, Marian

    This encyclopedia brings together in more than 200 entries, arranged in A-to-Z format, a portrait of the complex modern issue that birth control has become with advances in medicine and biochemistry during the 20th century. It is aimed at both the student and the consumer of birth control. Entries cover the following topics: birth control…

  15. Birth Control Patch

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Birth Control Patch KidsHealth > For Teens > Birth Control Patch A A A What's in this article? ... Much Does It Cost? What Is It? The birth control patch is a thin, beige, 1¾-inch (4½- ...

  16. Birth Control Pill

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Birth Control Pill KidsHealth > For Teens > Birth Control Pill A A A What's in this article? ... español La píldora anticonceptiva What Is It? The birth control pill (also called "the Pill") is a daily ...

  17. Birth Control Ring

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Birth Control Ring KidsHealth > For Teens > Birth Control Ring A A A What's in this article? ... español Anillo vaginal anticonceptivo What Is It? The birth control ring is a soft, flexible, doughnut-shaped ring ...

  18. Birth Control Shot

    Science.gov (United States)

    ... Loss Surgery? A Week of Healthy Breakfasts Shyness Birth Control Shot KidsHealth > For Teens > Birth Control Shot A A A What's in this article? ... español La inyección anticonceptiva What Is It? The birth control shot is a long-acting form of progesterone, ...

  19. Birth Control Pill

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Birth Control Pill KidsHealth > For Teens > Birth Control Pill Print A A A What's in this ... La píldora anticonceptiva What Is It? The birth control pill (also called "the Pill") is a daily ...

  20. Birth Control Patch

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Birth Control Patch KidsHealth > For Teens > Birth Control Patch Print A A A What's in this ... Does It Cost? What Is It? The birth control patch is a thin, beige, 1¾-inch (4½- ...

  1. Birth Control Shot

    Science.gov (United States)

    ... Surgery? A Week of Healthy Breakfasts Shyness Birth Control Shot KidsHealth > For Teens > Birth Control Shot Print A A A What's in this ... La inyección anticonceptiva What Is It? The birth control shot is a long-acting form of progesterone, ...

  2. Contraception and Birth Control

    Science.gov (United States)

    ... to the NICHD Staff Directory Skip sharing on social media links Rollup Image Home > Health & Research > A-Z Topics > Contraception and Birth Control > About Page Content ​About Contraception and Birth Control Contraception is the prevention of pregnancy. Contraception, or birth control, also allows couples to ...

  3. Birth Defects (For Parents)

    Science.gov (United States)

    ... this virus during pregnancy, her child may have low birth weight, intellectual disability (mental retardation) or learning disabilities, ... and central nervous system problems. A child with late congenital syphilis may have abnormalities of the ... Diagnosing Birth Defects Many birth defects are diagnosed even before ...

  4. at birth, at a birth, by birth, from birth, of... birth与give birth to

    Institute of Scientific and Technical Information of China (English)

    昝亚娟

    2000-01-01

    birth是中学英语教材中的一个常用词,也常见于birthday(生日)、birthplace(出生地)、birthrate(出生率)和birth control(计划生育)等一些复合名词或短语之中。从字面看,这些复合词和短语的意义容易理解,但下面一些含birth的介词短语和动词短语对于中学生来说就不那么容易理解了。

  5. From institutionalized birth to home birth

    Directory of Open Access Journals (Sweden)

    Clara Fróes de Oliveira Sanfelice

    2014-06-01

    Full Text Available The study aimed to describe the experiences of a group of nurse-midwives from the city of Campinas, SP, Brasil, regarding the transition process from attending institutionalized births to attending home births, in the period 2011 – 2013. The study is of the experience report type; the reflections, perceptions and challenges experienced in this process were collected using the technique of brainstorming. Content analysis, as proposed by Bardin, was used, which yielded four thematic categories: a the hospital experience; b living with obstetric violence; c returning home and d the challenges of home care. It is concluded that attending home births offers greater satisfaction to the nurses, even in the face of various obstacles, as it is possible to offer a care to the woman and new-born which covers both the concept of comprehensiveness and the current scientific recommendations.

  6. Politics, power, and birth.

    Science.gov (United States)

    Tillett, Jackie

    2011-01-01

    Politics is the process and method of decision making for individuals and groups. Politics may define the power relationships between women and their healthcare providers. Politics may shape the experience for the woman. Nurses and birthing women can learn to negotiate the politics and power relationships surrounding the birth experience.

  7. Labor and Birth

    Science.gov (United States)

    ... pushing your baby down and out of the birth canal. In other words, labor pain has a purpose. Try the following to help ... Opioids don't get rid of all the pain, and they are short-acting. They can make ... birth. Epidural and spinal blocks – An epidural involves placing ...

  8. Traditional birth attendants in Malawi

    Directory of Open Access Journals (Sweden)

    J. J. M. Smit

    1994-05-01

    Full Text Available Traditional Birth Attendants (TBAs and traditional healers form an important link in the chain of health personnel providing primary health care in Malawi. In spite of the establishment of hospitals and health centres, it is to these traditional healers and TBAs that the majority of people turn in times of sickness and child-birth. Approximately 60 percent of all deliveries in Malawi occur in the villages. It is therefore important that due regard be paid to the activities of these traditional practitioners in order to ensure the achievement of the goal - "Health for all by the year 2000". The training of TBAs is seen as part of the Maternal and Child Health Services in the country.

  9. Center Variation in the Delivery of Indicated Late Preterm Births.

    Science.gov (United States)

    Aliaga, Sofia; Zhang, Jun; Long, D Leann; Herring, Amy H; Laughon, Matthew; Boggess, Kim; Reddy, Uma M; Grantz, Katherine Laughon

    2016-08-01

    Objective Evidence for optimal timing of delivery for some pregnancy complications at late preterm gestation is limited. The purpose of this study was to identify center variation of indicated late preterm births. Study design We performed an analysis of singleton late preterm and term births from a large U.S. retrospective obstetrical cohort. Births associated with spontaneous preterm labor, major congenital anomalies, chorioamnionitis, and emergency cesarean were excluded. We used modified Poisson fixed effects logistic regression with interaction terms to assess center variation of indicated late preterm births associated with four medical/obstetric comorbidities after adjusting for socio-demographics, comorbidities, and hospital/provider characteristics. Results We identified 150,055 births from 16 hospitals; 9,218 were indicated late preterm births. We found wide variation of indicated late preterm births across hospitals. The extent of center variation was greater for births associated with preterm premature rupture of membranes (risk ratio [RR] across sites: 0.45-3.05), hypertensive disorders of pregnancy (RR across sites: 0.36-1.27), and placenta previa/abruption (RR across sites: 0.48-1.82). We found less center variation for births associated with diabetes (RR across sites: 0.65-1.39). Conclusion Practice variation in the management of indicated late preterm deliveries might be a source of preventable late preterm birth.

  10. BIRTH WEIGHT : A COMMUNITY PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    J P SRIVASTAVA

    2003-06-01

    Full Text Available India has a dubious distinction of belonging to the top bracket of countries with a very high under-5 Mortality Rate (U5MR of above 96/1000 live births. The U5MR considered the single most significant basic indicator of health status of a community, is proportional to the Infant Mortality Rate (IMR which in turn is contributed to directly and indirectly by the incidence of low Birth Weight (LB W.About 25 million LB W are born each year consisting 17% of all live births,nearly 95% of them in developing countries. About 26% of newborns are LBW in India, and indeed over 16% in those countries with very high U5MR.Both preterm and small-for-dates almost equally make up this category of vulnerable infants predisposed to asphyxia, feeding problems, anemia and growth failure.Considering the close relationship of birth weight with perinatal and infant morbidity as well as mortality, it is crucial to identify the liigh risk groups of low birth weight babies as early as possible.Unfortunately, in a community where 80% of newborns never get to have their weight measured, this itself is a tall order. In our society, the cry of the newborn is greeted with anxious queries about the sex of the baby and not his well­being and potential for healthy survival. The basic concept of the importance of birth weight is missing even among educated families. Indeed, it is as if the weighing machine has no place in the requirements at childbirth. In the absence of this basic facility, field workers and TBAs must report to other means to identify babies at risk. Mid-arm circumference, thigh circumference, foot length, and skin-fold thickness etc. are measurements that have been correlated satisfactorily with the baby’s weight. Simple tools like coloured strips have been developed and these show promise of applicability in field situation for identification of LB W by TBAs for early referral.

  11. Wealthy Flou Birth Control

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    China’s family planning policies have come under criticism for failing to con birth rates among wealthy families A ccording to the family planning policies, Hong Youfu, a restaurant owner in Fangcun District of

  12. Birth control after 1984.

    Science.gov (United States)

    Djerassi, C

    1970-09-04

    1) Eric Blair (alias George Orwell) can rest easy in his grave, because birth control by governmentally imposed methods, such as incorporation of a contraceptive agent into drinking water, is totally unfeasible by 1984. 2) Fundamentally new birth control procedures in the female (for example, a once-a-month luteolytic or abortifacient agent) and a male contraceptive pill probably will not be developed until the 1980's at the earliest, and then only if major steps of the type outlined in this article are instituted in the early 1970's. Development during the next decade of practical new methods of birth control without important incentives for continued active participation by the pharmaceutical industry is highly unlikely. If none are developed, birth control in 1984 will not differ significantly from that of today.

  13. Birth control pills overdose

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/002599.htm Birth control pill overdose To use the sharing features on ... the medicine was prescribed for the person Poison Control Your local poison center can be reached directly ...

  14. Accredited Birth Centers

    Science.gov (United States)

    ... 9743 Accredited since January 2016 98 Bright Eyes Midwifery and Wild Rivers Women's Health Accredited 29135 Ellensburg ... Accredited since November 2015 96 Footprints in Time Midwifery Services and Birth Center Accredited 351 N. Water ...

  15. Obstetric Care Consensus No. 4: Periviable Birth.

    Science.gov (United States)

    2016-06-01

    Approximately 0.5% of all births occur before the third trimester of pregnancy, and these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. A recent executive summary of proceedings from a joint workshop defined periviable birth as delivery occurring from 20 0/7 weeks to 25 6/7 weeks of gestation. When delivery is anticipated near the limit of viability, families and health care teams are faced with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of periviable births in addition to gestational age at birth. These include, but are not limited to, nonmodifiable factors (eg, fetal sex, weight, plurality), potentially modifiable antepartum and intrapartum factors (eg, location of delivery, intent to intervene by cesarean delivery or induction for delivery, administration of antenatal corticosteroids and magnesium sulfate), and postnatal management (eg, starting or withholding and continuing or withdrawing intensive care after birth). Antepartum and intrapartum management options vary depending upon the specific circumstances but may include short-term tocolytic therapy for preterm labor to allow time for administration of antenatal steroids, antibiotics to prolong latency after preterm premature rupture of membranes or for intrapartum group B streptococci prophylaxis, and delivery, including cesarean delivery, for concern regarding fetal well-being or fetal malpresentation. Whenever possible, periviable births for which maternal or neonatal intervention is planned should occur in centers that offer expertise in maternal and neonatal care and the needed infrastructure, including intensive care units, to support such services. This document describes newborn outcomes after periviable birth, provides current evidence and recommendations regarding interventions in this setting, and provides an outline for family counseling with the goal of

  16. A Study Of Risk Factors For Low Birth Weight

    Directory of Open Access Journals (Sweden)

    Deswal B S

    1999-01-01

    Full Text Available Research question: What is the extent of low weight babies born in hospitals and its association with some maternal factors? Objectives: 1. To find an overall prevalence of low birth weight babies amongst hospital births in Meerut city. 2. To identify and quantify the effects of some risk factors for low birth weight. Setting: District women Hospital of Meerut city of western U.P. Study Design: Hospital based matched case-control study. Sample size: 491 low birth weight babies as ‘cases’ and an equal number of babies of normal birth weight in ‘control’ group matched for maternal age, sex of baby, birth order and institution of delivery. Study variables: Socio-economic Status: maternal biological factors including obstetric history: antenatal factors: nutritional factors: history of abortion: toxaemia of pregnancy etc. Results: Overall proportion of low birth weight babies was found to be 21.8% amongst hospital live births and 30.9% born to mothers aged below 30 years of age. Low maternal weight, under nutrition, lack of antenatal care, short inter-pregnancy interval, toxacmia of pregnancy were independent factors increasing the risk of low birth weight significantly. Conclusions: The study suggested that a substantial proportion of low birth weight babies can be averted by improving maternal nutritional status including anemic condition, birth spacing and proper antenatal care.

  17. Determinants of birth intervals in Vietnam: a hazard model analysis.

    Science.gov (United States)

    Swenson, I; Thang, N M

    1993-06-01

    There was absence of any regional differences in parity progressions and length of birth intervals, although urban-rural differences persisted at most birth orders, suggesting that, as in other studies, the urban-rural differentials are the primary source of variations in fertility between different areas of a country. The significantly higher probability of a subsequent birth after birth order 2 in areas with high infant mortality compared to those with low infant mortality suggests that women in the high-risk provinces may be more likely to advance beyond parity 2 and continue on into the advanced parities. The provinces identified as having high infant mortality had also been identified in other studies as the provinces with the highest crude birth rates and population growth rates, the least available family planning services, and highest crude death rates. Mothers' education was consistently related to the likelihood of another birth at each birth order, with the most-educated women experiencing a significantly lower probability of having a subsequent birth at every birth order. This concurs with results in other studies, suggesting that the woman's education is a prime determinant of fertility and that increasing the educational attainment of women is one of the most beneficial measures to reduce fertility. The significant relationship between the previous birth interval of the index child and the probability that the index child would be followed by a subsequent birth conforms with other studies of birth interval dynamics that suggest that pregnancy-spacing for a given woman remains constant throughout her reproductive career.(ABSTRACT TRUNCATED AT 250 WORDS)

  18. Birth Territory: a theory for midwifery practice.

    Science.gov (United States)

    Fahy, Kathleen M; Parratt, Jenny Anne

    2006-07-01

    The theory of Birth Territory describes, explains and predicts the relationships between the environment of the individual birth room, issues of power and control, and the way the woman experiences labour physiologically and emotionally. The theory was synthesised inductively from empirical data generated by the authors in their roles as midwives and researchers. It takes a critical post-structural feminist perspective and expands on some of the ideas of Michel Foucault. Theory synthesis was also informed by current research about the embodied self and the authors' scholarship in the fields of midwifery, human biology, sociology and psychology. In order to demonstrate the significance of the theory, it is applied to two clinical stories that both occur in hospital but are otherwise different. This analysis supports the central proposition that when midwives use 'midwifery guardianship' to create and maintain the ideal Birth Territory then the woman is most likely to give birth naturally, be satisfied with the experience and adapt with ease in the post-birth period. These benefits together with the reduction in medical interventions also benefit the baby. In addition, a positive Birth Territory is posited to have a broader impact on the woman's partner, family and society in general.

  19. Assessment of five different guideline indication criteria for spirometry, including modified GOLD criteria, in order to detect COPD: data from 5,315 subjects in the PLATINO study

    Science.gov (United States)

    Luize, Ana P; Menezes, Ana Maria B; Perez-Padilla, Rogelio; Muiño, Adriana; López, Maria Victorina; Valdivia, Gonzalo; Lisboa, Carmem; Montes de Oca, Maria; Tálamo, Carlos; Celli, Bartolomé; Nascimento, Oliver A; Gazzotti, Mariana R; Jardim, José R

    2014-01-01

    Background: Spirometry is the gold standard for diagnosing chronic obstructive pulmonary disease (COPD). Although there are a number of different guideline criteria for deciding who should be selected for spirometric screening, to date it is not known which criteria are the best based on sensitivity and specificity. Aims: Firstly, to evaluate the proportion of subjects in the PLATINO Study that would be recommended for spirometry testing according to Global initiative for Obstructive Lung Disease (GOLD)-modified, American College of Chest Physicians (ACCP), National Lung Health Education Program (NLHEP), GOLD and American Thoracic Society/European Respiratory Society (ATS/ERS) criteria. Secondly, we aimed to compare the sensitivity, specificity, and positive predictive and negative predictive values, of these five different criteria. Methods: Data from the PLATINO study included information on respiratory symptoms, smoking and previous spirometry testing. The GOLD-modified spirometry indication criteria are based on three positive answers out of five questions: the presence of cough, phlegm in the morning, dyspnoea, age over 40 years and smoking status. Results: Data from 5,315 subjects were reviewed. Fewer people had an indication for spirometry (41.3%) according to the GOLD-modified criteria, and more people had an indication for spirometry (80.4%) by the GOLD and ATS/ERS criteria. A low percentage had previously had spirometry performed: GOLD-modified (14.5%); ACCP (13.2%); NLHEP (12.6%); and GOLD and ATS/ERS (12.3%). The GOLD-modified criteria showed the least sensitivity (54.9) and the highest specificity (61.0) for detecting COPD, whereas GOLD and ATS/ERS criteria showed the highest sensitivity (87.9) and the least specificity (20.8). Conclusion: There is a considerable difference in the indication for spirometry according to the five different guideline criteria. The GOLD-modified criteria recruit less people with the greatest sum of sensitivity and

  20. Prevention of preterm birth.

    LENUS (Irish Health Repository)

    Flood, Karen

    2012-02-01

    Preterm birth (delivery before 37 completed weeks of gestation) is common and rates are increasing. In the past, medical efforts focused on ameliorating the consequences of prematurity rather than preventing its occurrence. This approach resulted in improved neonatal outcomes, but it remains costly in terms of both the suffering of infants and their families and the economic burden on society. Increased understanding of the pathophysiology of preterm labor has altered the approach to this problem, with increased focus on preventive strategies. Primary prevention is a limited strategy which involves public education, smoking cessation, improved nutritional status and avoidance of late preterm births. Secondary prevention focuses on recurrent preterm birth which is the most recognisable risk factor. Widely accepted strategies include cervical cerclage, progesterone and dedicated clinics. However, more research is needed to explore the role of antibiotics and anti-inflammatory treatments in the prevention of this complex problem.

  1. Genomics of Preterm Birth

    Science.gov (United States)

    Swaggart, Kayleigh A.; Pavlicev, Mihaela; Muglia, Louis J.

    2015-01-01

    The molecular mechanisms controlling human birth timing at term, or resulting in preterm birth, have been the focus of considerable investigation, but limited insights have been gained over the past 50 years. In part, these processes have remained elusive because of divergence in reproductive strategies and physiology shown by model organisms, making extrapolation to humans uncertain. Here, we summarize the evolution of progesterone signaling and variation in pregnancy maintenance and termination. We use this comparative physiology to support the hypothesis that selective pressure on genomic loci involved in the timing of parturition have shaped human birth timing, and that these loci can be identified with comparative genomic strategies. Previous limitations imposed by divergence of mechanisms provide an important new opportunity to elucidate fundamental pathways of parturition control through increasing availability of sequenced genomes and associated reproductive physiology characteristics across diverse organisms. PMID:25646385

  2. Do Induced Abortions Affect the First Birth Probability?

    DEFF Research Database (Denmark)

    Hansen, Marie-Louise H; Stage, Louise; Knudsen, Lisbeth B.;

    Objective: The focus of this paper is to study, on a national basis, how the event of an induced abortion modifies the transition to first birth for Danish women aged 20-39 years in the period 1982-2001, taking into account also educational level, family situation, and urbanisation. Data and meth......Objective: The focus of this paper is to study, on a national basis, how the event of an induced abortion modifies the transition to first birth for Danish women aged 20-39 years in the period 1982-2001, taking into account also educational level, family situation, and urbanisation. Data...... abortion is examined by cumulative first birth probabilities, derived from a life table analysis. Main findings and conclusion: Previous abortions increased the first birth probability, though this effect was almost entirely confined to single women. For cohabiting and married women, previous abortions had...

  3. Unsanctioned births in China.

    Science.gov (United States)

    Li, L; Ballweg, J A

    1995-05-01

    This study hypothesizes that "unsanctioned" births (beyond the limit authorized by the government) in China are more likely among couples who have strong traditional fertility norms and less likely among couples who adopt new family planning norms. The theoretical framework is based on cultural conflict theory as developed by Sellin. Data are obtained from 6654 ever married women aged under 49 years from the 1987 In-Depth Fertility Survey for Guangdong province. Over 30% of the sample were married before 20 years of age. 20% had 1 child, 26.7% had 2 children, about 23% had 3 children, 13.9% had 4 children, and under 10% had 5 or more children. The average number of living children was 2.5. Findings reveal that socioeconomic status was significantly related to unsanctioned births; they were more common in less developed areas and among women of lower socioeconomic status (SES). Persons living in areas with a high monetary contribution per person in family planning efforts at the county level were less likely to have unsanctioned births. Women who lived in urban areas, worked in state enterprises, and had parents with high educational status were less likely to have unsanctioned births. They were more likely among women who married at an early age, lived with parents after the marriage, had female living children, and had failed pregnancies. They were also more likely among women who had arranged marriages, a traditional desire for large family sizes, an early marriage ideal, and a preference for sons. Knowledge of family planning and greater use of abortion were related to a lower incidence of unsanctioned births. Women who talked with their husbands about their family size desires were less likely to have unsanctioned births. Parental educational attainment only had an influence among rural women. Variables impacted on fertility differently in urban and rural areas.

  4. 14 CFR 406.177 - Petition to reconsider or modify a final decision and order of the FAA decisionmaker on appeal.

    Science.gov (United States)

    2010-01-01

    ... petition to reconsider or modify with the Federal Docket Management System not later than 30 days after.... (b) Contents. A party must state briefly and specifically the alleged errors in the final decision... new material. The party must explain, in detail, why the new material was not discovered through...

  5. [Evaluation of the quality of birth registration data in Brazil].

    Science.gov (United States)

    Gadelha, R J

    1982-01-01

    Preliminary evaluation of the quality of data published in "Estatisticas do Registro Civil, 1974-79" (Vital Registration Statistics, 1974-79) concerning children ever born in Brazil and its states is presented. Qualitative analysis of these variables is included: time period between date of birth and date of registration, mother's permanent place of birth, type of delivery, sex, and mother's age at time of delivery. (author's modified)

  6. Birth Control Ring

    Science.gov (United States)

    ... 5 of her menstrual cycle. It remains in place for 3 weeks in a row. At the end of the third week, on the same day of the week ... birth control until the ring has been in place for 7 days. If the ring is out for more than 3 hours during your third week wearing it, call your doctor to see ...

  7. Visual Memory at Birth.

    Science.gov (United States)

    Slater, Alan; And Others

    1982-01-01

    Explored new-born babys' capacity for forming visual memories. Used an habituation procedure that accommodated individual differences by allowing each infant to control the time course of habituation trials. Found significant novelty preference, providing strong evidence that recognition memory can be reliably demonstrated from birth. (Author/JAC)

  8. The Birth of "Frankenstein"

    Science.gov (United States)

    Howard, Jennifer

    2008-01-01

    Nobody shouts "It's alive!" in the novel that gave birth to Frankenstein's monster. "Frankenstein, or the Modern Prometheus," does not feature mad scientists messing around with beakers in laboratories, nor does it deliver any bug-eyed assistants named Igor. Hollywood has given people those stock images, but the story of the monster and his maker…

  9. 婴儿出生史相关因素与儿童急性白血病发病风险的Meta分析%Effects of birth order, maternal abortion and mode of delivery on childhood acute leukemia risk: a meta-analysis

    Institute of Scientific and Technical Information of China (English)

    邹国斌; 沙霞

    2014-01-01

    Objective To evaluate the associations between birth order,maternal abortion and mode of delivery and childhood acute leukemia risk.Method Multiple electronic databases were searched to identify relevant studies up to March 2013 using the search terms " childhood leukemia"," acute lymphoblastic leukemia"," acute myeloid leukemia"," birth order"," abortion "," miscarriage ","cesarean","birth characteristics" and "prenatal risk factor".Data from cohort and case-control studies were analyzed using the Stata software.Result Twenty-three studies were included in this meta-analysis according to the selection criteria.No significant associations were identified for birth order and mode of delivery (birth order =2:OR =0.97,95% CI:0.89-1.05 ; birth order =3:OR =1.00,95% CI:0.91-1.11 ; birth order ≥4:OR =1.02,95% CI:0.87-1.20; mode of delivery:OR =1.05,95% CI:0.96-1.15).However,there was a significant association between maternal abortion and childhood acute leukemia risk (spontaneous abortion:OR =1.21,95% CI:1.05-1.41 ; induced abortion:OR =1.23,95% CI:1.07-1.43).Furthermore,the stratified analysis by disease subtypes showed that spontaneous and induced abortions were significantly associated with the risks of childhood acute myeloid leukemia (OR =1.71,95% CI:1.09-2.70) and acute lymphoblastic leukemia (OR =1.23,95% CI:1.05-1.42),respectively.Conclusion This meta-analysis revealed that maternal abortion might contribute to the childhood acute leukemia risk.%目的 综合评价患儿出生顺序、孕妇流产史及分娩方式与儿童急性白血病发病风险之间的关系.方法 在PubMed、Google学术搜索、中国知网(CNKI)、万方数据库中以“childhoodleukemia"、“acute lymphoblastic leukemia"、“acute myeloid leukemia"、“birth order"、“abortion”、“miscarriage”、“caesarean”、“birth characteristics”、“prenatal risk factor”或其对应的中文词目为检索词,收集2013年3月前有关患儿出生顺序

  10. [The EU law on genetically modified organisms: the European Commission changes the strategy in order to allow, restrict, or prohibit its culture].

    Science.gov (United States)

    González Vaqué, Luis

    2010-01-01

    On July 13 2010, the European Commission adopted a series of measures which outline a new approach on Genetically Modified Organisms (GMOs) cultivation in the Member States. This proposal, which still retains the basis of the existing science-based GMO authorisation system, will be implemented through: a Communication from the Commission, explaining the new approach on the freedom for Member States to decide on the cultivation of genetically modified crops; the "Proposal for a Regulation of the European Parliament and of the Council amending Directive 2001/18/EC as regards the possibility for the Member States to restrict or prohibit the cultivation of GMOs in their territory"; and a new "European Commission Recommendation (2010/C 200/01) of 13 July 2010 on guidelines for the development of national co-existence measures to avoid the unintended presence of GMOs in conventional and organic crops".

  11. Birth control and family planning

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/001946.htm Birth control and family planning To use the sharing features ... please enable JavaScript. Your choice of a birth control method depends on a number of factors, including ...

  12. Birth control - slow release methods

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/007555.htm Birth control - slow release methods To use the sharing features on this page, please enable JavaScript. Certain birth control methods contain man-made forms of hormones. These ...

  13. The piglet's behavior after birth according to the birth weight

    OpenAIRE

    2008-01-01

    The aim of the work was the piglet's behavior observation till the fourteenth day after birth. We expected some differences in behavior between animal groups according to their birth weight. Thirty-five animals from five litters were included in the experiment. We divided the animals into two groups according to their birth weight: in the first group there were piglets with their birth weight over 1.45 kg; in the second group piglets with their birth weight to 1.35 kg were observ...

  14. Screening for spontaneous preterm birth

    NARCIS (Netherlands)

    van Os, M.A.; van Dam, A.J.E.M.

    2015-01-01

    Preterm birth is the most important cause of perinatal morbidity and mortality worldwide. In this thesis studies on spontaneous preterm birth are presented. The main objective was to investigate the predictive capacity of mid-trimester cervical length measurement for spontaneous preterm birth in a l

  15. Birth Defects Research and Tracking

    Science.gov (United States)

    ... used data from the National Birth Defects Prevention Study (NBDPS) to examine maternal asthma medication use during pregnancy and the risk of certain birth defects. (Published October 22, 2014) World Down Syndrome Day Read one mother’s reflection on the birth ...

  16. Profile and birthing practices of Maranao traditional birth attendants

    Directory of Open Access Journals (Sweden)

    Maghuyop-Butalid R

    2015-10-01

    Full Text Available Roselyn Maghuyop-Butalid, Norhanifa A Mayo, Hania T Polangi College of Nursing, Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines Abstract: This study determined the profile and birthing practices in both modern and traditional ways among Maranao traditional birth attendants (TBAs in Lanao del Norte, Philippines. It employed a descriptive research design. The respondents were 50 Maranao TBAs selected through the snowball sampling technique. A questionnaire was developed by the researchers to identify the respondents’ modern birthing practices utilizing the Essential Intrapartum and Newborn Care (EINC Protocol. To determine their profile and traditional birthing practices, items from a previous study and the respondents’ personal claims were adapted. This study shows that Maranao TBAs have less compliance to the EINC Protocol and they often practice the traditional birthing interventions, thus increasing the risk of complications to both mother and newborn. Keywords: intrapartum and newborn care, modern birthing practices, traditional birthing practices 

  17. Planned place of birth

    DEFF Research Database (Denmark)

    Overgaard, Charlotte; Coxon, Kirstie; Stewart, Mary

    of recent research on this topic. Individual papers/studies Stewart, M et al: The Birthplace in England Study – maternal outcomes and issues of choice and equity Overgaard, C et al: Freestanding midwifery units versus obstetric units – outcomes, care perceptions, equity and access in maternity care...... in Denmark Coxon K et al: Planned place of birth in England: perceptions of accessing obstetric units, midwife led units and home birth amongst women and their partners. How these papers interrelate These papers draw upon recent research in maternity care, undertaken in Denmark and in England. In both...... countries, maternity care is provided free to women, through public financing of health care; universal access to care is therefore secured. Nevertheless, different models of care exist, and debates about the appropriateness of providing maternity care in different settings take place in both countries...

  18. THE BIRTH AND DEVELOPMENT OF THE THEORY OF INDUSTRY MARKET

    Directory of Open Access Journals (Sweden)

    А. Ignatyuk

    2013-04-01

    Full Text Available In this article the stages of the birth and development of the industry markets theory were defined in order to have a full picture of its current goals, objectives and areas of study.

  19. 复修正KdV方程的高阶保能量方法%The High Order Energy Preserving Method for the Complex Modified KdV Equation

    Institute of Scientific and Technical Information of China (English)

    闫静叶; 孙建强

    2016-01-01

    利用4阶平均向量场方法和拟谱方法构造了复修正KdV方程的高阶保能量平均向量场格式,并利用构造的高阶保能量格式数值模拟了方程孤立波的演化行为.数值结果表明:构造的4阶格式具有好的稳定性,可以很好地模拟孤立波的演化行为,并且精确保持方程的能量守恒特性.%The fourth order energy preserving scheme for the complex modified KdV equation is obtained by apply-ing the fourth order average vector field method( AVF)and the Fourier pseudospectral method. The new fourth order energy preserving scheme is applied to simulate the behaviors of solitary waves of the KdV equation. Numerical re-sults show that the fourth order scheme has a nice stability and can well simulate the solitary wave evolution behav-iors of the complex modified KdV equation in long time ,moreover preserve the discrete energy conservation of the system.

  20. Rural Birth Order and Gender Influence on Intergenerational Time Transfer Motivation in Anhui Province%农村孩次和性别对代际时间转移动机的影响——以安徽省为例

    Institute of Scientific and Technical Information of China (English)

    周律; 陈功; 徐铭蔚; 王佳

    2012-01-01

    在美国等西方国家,代际时间转移动机是公共转移项目和政策的关键决定因素。然而,在中国文化中,这一概念相对比较新颖。目前尚无子女的孩次、性别与中国农村老年人代际时间转移之间影响的研究。本文旨在从农村地区父母的角度,按子女的性别和孩次,探究时间转移的动机。本研究的数据为2009年从中国安徽省巢湖地区收集。研究结果显示从父母的视角分析,子女的孩次对代际时间转移动机有显著的影响,而子女性别的影响不显著。此外,本文讨论了对政府政策和未来研究的启示。%In the United States and other Western countries, the intergenerational transfer motivation is a key determinant of public transfer programs and policies. However, in Chinese culture, the concept is relatively new. Currently there is less research about rural birth order and gender influence on intergenerational time transfer in China. This article analyzed intergenerational time transfer motivation by the birth order and gender in perspective of rural parents. In this study, the data collected from Chaohu, Anhui Province, China in 2009. The results showed that from the perspective of parents, their children's birth order have a significant impact on intergenerational transfer motivation and children's gender had no significant effect. In addition, the article discusses the revelation of government policy and future research.

  1. Improved DET communication between cellobiose dehydrogenase and a gold electrode modified with a rigid self-assembled monolayer and green metal nanoparticles: The role of an ordered nanostructuration.

    Science.gov (United States)

    Bollella, P; Mazzei, F; Favero, G; Fusco, G; Ludwig, R; Gorton, L; Antiochia, R

    2017-02-15

    Efficient direct electron transfer (DET) between cellobiose dehydrogenase from Corynascus thermophilus (CtCDH) and a novel gold electrode platform, obtained by covalent linking of green AuNPs and AgNPs modified with a dithiol self-assembled monolayer, consisting of biphenyl-4,4'-dithiol (BPDT), was presented. The green AuNPs and AgNPs were synthesized using quercetin as reducing agent at room temperature. TEM experiments showed that the AuNPs and AgNPs were circular in shape with an average diameter of 5 and 8nm, respectively. Cyclic voltammetry of CtCDH immobilized onto the AuNPs/BPDT/AuE and the AgNPs/BPDT/AuE electrode platforms were carried out and compared with naked AuE, BPDT/AuE, AuNPs/AuE, and AgNPs/AuE. A pair of well-defined redox waves in neutral pH solution due to efficient DET of CtCDH was present with both MNPs/BPDT/AuE platforms. No DET communication was found with platforms without MNPs linked to BPDT. The apparent heterogeneous electron transfer rate constants (kS) of CtCDH were calculated to be 21.5±0.8s(-1) and 10.3±0.7s(-1), for the AuNPs/BPDT/AuE and the AgNPs/BPDT/AuE platforms, respectively. The modified electrodes were successively used to develop an eco-friendly biosensor for lactose detection. The CtCDH/AuNPs/BPDT/AuE based biosensor showed the best analytical performances with an excellent stability, a detection limit of 3µM, a linear range between 5 and 400µM and a sensitivity of 27.5±2.5µAcm(-2)mM(-1). Such performances were favorably compared with other lactose biosensors reported in literature. The biosensor was successively tested to quantify lactose content in real milk and cream samples. No significant interference present in the sample matrices was observed.

  2. Epigenetics—a potential mediator between air pollution and preterm birth

    Science.gov (United States)

    Lin, Vania W.; Baccarelli, Andrea A.; Burris, Heather H.

    2016-01-01

    Preterm birth is a major cause of infant morbidity and mortality and a potential risk factor for adult chronic disease. With over 15 million infants born preterm worldwide each year, preterm birth poses a global health concern. There is a possible association between air pollution and preterm birth, though studies have been inconsistent, likely due to variation in study design. How air pollution induces health effects is uncertain; however, studies have repeatedly demonstrated the effects of air pollution on epigenetic modifications. More recent evidence suggests that epigenetics may, in turn, be linked to preterm birth. Discovery of environmentally modifiable epigenetic processes connected to preterm birth may help to identify women at risk of preterm birth, and ultimately lead to development of new preterm birth prevention measures. PMID:26900485

  3. Birth rites: redefining the visual language of birth.

    Science.gov (United States)

    Uppal, Elaine

    2011-02-01

    This article provides a review of a Birth Rites organisation event to launch its new website and art competition. Birth Rites is the first and only collection of contemporary artwork dedicated to the subject of childbirth. The collection aims to redefine visual language in contemporary art around the subject of birth, making women the protagonists, with more choice and a greater understanding of the process. The organisation was founded by two women, Phoebe Mortimer and curator Helen Knowles.

  4. An instability in neutron stars at birth

    Science.gov (United States)

    Burrows, Adam; Fryxell, Bruce A.

    1992-01-01

    Calculations with a two-dimensional hydrodynamic simulation show that a generic Raleigh-Taylor-like instability occurs in the mantles of nascent neutron stars, that it is possibly violent, and that the standard spherically symmetric models of neutron star birth and supernova explosion may be inadequate. Whether this 'convective' instability is pivotal to the supernova mechanism, pulsar nagnetic fields, or a host of other important issues that attend stellar collapse remains to be seen, but its existence promises to modify all questions concerning this most energetic of astronomical phenomena.

  5. Lower Birth Weight and Diet in Taiwanese Girls More than Boys Predicts Learning Impediments

    Science.gov (United States)

    Lee, Meei-Shyuan; Huang, Lin-Yuan; Chang, Yu-Hung; Huang, Susana Tzy-Ying; Yu, Hsiao-Li; Wahlqvist, Mark L.

    2012-01-01

    Possible links between lower birth weight, childhood diet, and learning in Taiwan are evaluated. The population representative Elementary School Children's Nutrition and Health Survey in Taiwan 2001-2002 and the national birth registry were used to examine school and social performance using the modified Scale for Assessing Emotional Disturbance…

  6. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create "cosmic music". The fourth lecture in the series, entitled "The Birth of Matter", will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Audito...

  7. The Birth of Matter

    CERN Multimedia

    2005-01-01

    To mark the World Year of Physics, the Physics Section of the University of Geneva is organising a series of lectures for the uninitiated. Each lecture will begin with a demonstration in the auditorium of the detection of cosmic rays and, in collaboration with Professor E. Ellberger of the Conservatoire de Musique de Genève, of how these signals from the farthest reaches of the Universe can be used to create 'cosmic music'. The fourth lecture in the series, entitled 'The Birth of Matter', will take place on Tuesday 3 May 2005 and will be given by CERN's theoretical physicist, John Ellis. Where does matter come from? Where do the structures that surround us, such as galaxies, come from? Are we living in a world of invisible matter? Why is the universe so old and so big? John Ellis will show how elementary particle physics and, in particular, the LHC under construction at CERN, can answer these questions. The Birth of Matter Professor John Ellis Tuesday 3 May, starting 8.00 p.m. Main Auditorium...

  8. Social inequality in birth outcomes in Korea, 1995-2008.

    Science.gov (United States)

    Park, Mi-Jin; Son, Mia; Kim, Young-Ju; Paek, Domyung

    2013-01-01

    Social inequality in adverse birth outcomes has been demonstrated in several countries. The present study examined the separate and joint effects of parental education and work in order to investigate the causal pathways of social class effects on adverse birth outcomes in Korea. The occurrence of low birth weight, preterm births, and intrauterine growth retardation was examined among 7,766,065 births in Korea from 1995 to 2008. The effect of social inequality, as represented by parental education and work, was examined against adverse birth outcomes using multivariate logistic regression after controlling for other covariates. Parental education had the most significant and greatest effect on all three adverse outcomes, followed by parental work and employment, which had lesser effects. For adverse birth outcomes, the gap between educational levels increased steadily in Korea from 1995 to 2008. Throughout the analysis, the effect of maternal manual work on adverse birth outcomes was apparent in the study results. Given this evidence of social inequality in education and employment, social interventions should aim at more in-depth and distal determinants of health.

  9. How menstrual shame affects birth.

    Science.gov (United States)

    Moloney, Sharon

    2010-12-01

    In Western, industrialised culture, menstruation and birth are commonly seen as unstable, pathological processes requiring medical control. Girls learn to see menstruation as shameful and secretive. Menarche is a nodal event around which girls' beliefs and attitudes to being female are organised. The perception of menstruation as a liability has foundational implications for future female experiences, particularly birth. Other cultures have recognised menstruation and birth as spiritual phenomena, with menarche and childbirth experienced as powerful initiatory processes. My PhD research explored the links between cultural attitudes to menstruation and spirituality, and women's experiences of birth. My feminist perspective recognised the power imbalances, patriarchal controls and structural inequities that oppress women in their intimate body experiences. Menstrual shame was identified as a core patriarchal organising principle that inculcates and perpetuates male dominance and female subordination. Engendering the perception of female physiology - and thus womanhood - as inherently flawed, menstrual shame was a key factor that predisposed women to approach birth feeling fearful, disempowered and vulnerable to intervention. However, my research also unearthed a counter-cultural group of women who had transformed their relationship with both menstruation and birth. Redesignating menstruation as a spiritual phenomenon enabled these women to dismantle their menstrual shame, connect with their female spirituality and give birth fearlessly and powerfully. For others, the profound spirituality of birth transformed their understanding of menstruation. Contrary to cultural norms, both menstruation and birth can be sacred female experiences which are sources of authority and empowerment.

  10. Acute Impact of Hourly Ambient Air Pollution on Preterm Birth

    Science.gov (United States)

    Li, Shanshan; Guo, Yuming; Williams, Gail

    2016-01-01

    Background: Preterm birth is a major perinatal health problem, but factors leading to it are still not completely understood. Objectives: Our goal was to identify the relation between acute increase in ambient air pollution in a few hours before onset of labor and the risk of preterm birth. Methods: We collected registered birth outcome data and hourly ambient air pollution measurements during 2009‒2013 in Brisbane, Australia. Using a time-stratified case-crossover design and conditional logistic regression models with natural cubic splines, we assessed the shape of air pollution-preterm birth curve, after controlling for potential confounders. We also examined the effect modification of other factors. Results: The association between air pollution [nitrogen dioxide (NO2), sulfur dioxide (SO2), and carbon monoxide (CO)] and preterm birth was nonlinear. Threshold concentrations for the mean of 0‒24 hr NO2, 24‒48 hr SO2, and 24‒48 hr CO before onset of labor were 7.6 parts per billion (ppb), 3.8 ppb, and 162.5 ppb, respectively. Increases in air pollution concentrations above thresholds were associated with increased risks of preterm birth. The odds ratios of preterm birth at the 95th percentile of NO2, SO2, and CO against the thresholds were 1.17 (95% CI: 1.08, 1.27), 1.01 (95% CI: 0.99, 1.04), and 1.18 (95% CI: 1.06, 1.32), respectively. The associations were modified by demographic factors, such as maternal smoking and socioeconomic status. Conclusion: Acute increases in ambient air pollution concentrations above certain levels before onset of labor may stimulate preterm birth. Citation: Li S, Guo Y, Williams G. 2016. Acute impact of hourly ambient air pollution on preterm birth. Environ Health Perspect 124:1623–1629; http://dx.doi.org/10.1289/EHP200 PMID:27128028

  11. Birth control over 30.

    Science.gov (United States)

    Asnes, M

    1994-07-01

    Among 30-40 year old women, 40% of pregnancies are unplanned, which is indicative of the unreliability of the birth control methods they are using. The 1992 Ortho Birth Control Study interviewed almost 7000 women, of whom 8% listed withdrawal and 4% listed the rhythm method. These two methods have failure rates of 24% and 19%, respectively. Birth control methods often disappoint the users and increasingly they turn to sterilization. 48% of married women aged 15-44 had themselves been sterilized or had a sterilized partner in the Ortho survey. Although reversal of tubal ligation succeeds in 43-88% of cases, conception cannot be guaranteed. For women over the age of 30 who are healthy and do not smoke, low-estrogen or no-estrogen oral contraceptive pills are considered safe. Taking the pill also helps prevent ovarian and endometrial cancer. The failure rate is 6%. Barrier methods also offer protection from sexually transmitted diseases including HIV. Condoms are favored by 33% of unmarried women and 19% of married women. Sexually active 40-44 year old unmarried women run a 14-19% risk of contracting a sexually transmitted disease (STD) in a 12-month period. Diaphragms offer some protection against STDs, but their failure rate is 18%. IUDs are regaining popularity, but only 1% of women use them (ParaGard T380A or Progestasert). Pelvic inflammatory disease is the reason: a 1992 study showed that 0.97% of women developed it within 20 days of use. Norplant is a long-term implant containing levonorgestrel with a failure rate of 0.5%. A 1993 study followed 1253 implant users over 12 months and found a very low rate of pregnancy, but 75% experienced some side effects during the first year. About half of the women using Norplant removed it after 2.5 years because of irregular bleeding. Depo-Provera is an injectable administered every 3 months, but after removal it can take up to a year for ovulation to return. Side effects may include hair loss and weight gain; and links to

  12. Child Health USA 2014: Preterm Birth and Low Birth Weight

    Science.gov (United States)

    ... percent of infants born very preterm or at low birth weight. However, even babies born “late preterm” (34–36 weeks’ gestation) or at moderately low birth weight (1,500–2,499 grams) are more ...

  13. Coevolutionary dynamics of networks and games under birth-death and birth mechanisms

    Science.gov (United States)

    Huang, Z.-G.; Wu, Z.-X.; Xu, X.-J.; Guan, J.-Y.; Wang, Y.-H.

    2007-08-01

    There is much interest in studying evolutionary games in structured populations, in order to understand how cooperation emerges in communities of egoistic agents. In this paper, we consider a new mechanism for cooperation to survive on networks. Agents are designed to reproduce offspring in proportion to their fitness, i.e., the aggregate payoffs they collected in the previous Prisoner's Dilemma game with neighbours. The population then evolves either by an individual giving birth to an offspring that takes over a random neighbour (birth-death process dynamics as the competition for resources already occupied by others) or by an individual constructing one new site from unexploited resources for its offspring (birth process dynamics as the competition for the unexploited resources which induces the extension of system). The underlying interaction network thus evolves and expands simultaneously with the population dynamics. The birth process dynamics is proved to be one new route that favours cooperators, under which cooperators can successfully resist the invasion of defectors in spite of large cost. Furthermore, under this “birth-death & birth” mechanism, the resulting network has a scale-free degree distribution, a small-world property, and hierarchical topology.

  14. Profile and birthing practices of Maranao traditional birth attendants.

    Science.gov (United States)

    Maghuyop-Butalid, Roselyn; Mayo, Norhanifa A; Polangi, Hania T

    2015-01-01

    This study determined the profile and birthing practices in both modern and traditional ways among Maranao traditional birth attendants (TBAs) in Lanao del Norte, Philippines. It employed a descriptive research design. The respondents were 50 Maranao TBAs selected through the snowball sampling technique. A questionnaire was developed by the researchers to identify the respondents' modern birthing practices utilizing the Essential Intrapartum and Newborn Care (EINC) Protocol. To determine their profile and traditional birthing practices, items from a previous study and the respondents' personal claims were adapted. This study shows that Maranao TBAs have less compliance to the EINC Protocol and they often practice the traditional birthing interventions, thus increasing the risk of complications to both mother and newborn.

  15. Predicting school failure from information available at birth.

    Science.gov (United States)

    Ramey, C T; Stedman, D J; Borders-Patterson, A; Mengel, W

    1978-05-01

    Information available from birth certificates was used to predict the psychological and educational status of approximately 1,000 randomly sampled first-grade children. The purpose of the research was to explore the feasibility of using birth certificate information as a cost-effective mechanism to identify children who were likely to need special educational services at public school entry. Multiple-regression and discriminant-function analyses revealed the following factors to be important in predicting psychoeducational status: birth order, race, educational status of the mother, month prenatal care began, survivorship of older siblings, and the child's legitimacy.

  16. Incidence of low birth weight among Love Canal residents.

    Science.gov (United States)

    Vianna, N J; Polan, A K

    1984-12-01

    The incidence of low birth weight among white live-born infants from 1940 through 1978 was studied in various sections of the Love Canal. A statistically significant excess was found in the historic swale area from 1940 through 1953, the period when various chemicals were dumped in this disposal site. Potential confounding factors such as medical-therapeutic histories, smoking, education, maternal age, birth order, length of gestation, and urban-rural difference did not appear to account for this observation. Low birth weight rates were comparable to those of upstate New York from 1954 through 1978, the period when there was no deposition of chemical wastes.

  17. Microstructure and Magnetic Properties of Highly Ordered SBA-15 Nanocomposites Modified with Fe2O3 and Co3O4 Nanoparticles

    Directory of Open Access Journals (Sweden)

    P. F. Wang

    2012-01-01

    Full Text Available Owing to the unique order mesopores, mesoporous SBA-15 could be used as the carrier of the magnetic nanoparticles. The magnetic nanoparticles in the frame and the mesopores lead to the exchange-coupling interaction or other interactions, which could improve the magnetic properties of SBA-15 nanocomposites. Mesoporous Fe/SBA-15 had been prepared via in situ anchoring Fe2O3 into the frame and the micropores of SBA-15 using the sol-gel and hydrothermal processes. Co3O4 nanoparticles had been impregnated into the mesopores of Fe/SBA-15 to form mesoporous Fe/SBA-15-Co3O4 nanocomposites. XRD, HRTEM, VSM, and N2 physisorption isotherms were used to characterize the mesostructure and magnetic properties of the SBA-15 nanocomposites, and all results indicated that the Fe2O3 nanoparticles presented into the frame and micropores, while the Co3O4 nanoparticles existed inside the mesopores of Fe/SBA-15. Furthermore, the magnetic properties of SBA-15 could be conveniently adjusted by the Fe2O3 and Co3O4 magnetic nanoparticles. Fe/SBA-15 exhibited ferromagnetic properties, while the impregnation of Co3O4 nanoparticles greatly improved the coercivity with a value of 1424.6 Oe, which was much higher than that of Fe/SBA-15.

  18. Life after Birth: the Klan and cinema, 1915-1928.

    OpenAIRE

    Rice, T

    2007-01-01

    "Life after Birth" considers the relationship between the Ku Klux Klan and cinema during the 1920s, highlighting how the Klan used, produced and protested against film in order to recruit members, generate publicity, and define itself as a traditional Protestant American organisation. In my opening chapter I reassess the significance of The Birth of a Nation in the development of the Klan, and introduce a number of other overlooked films, such as The Face at Your Window that Kleagles (Klan re...

  19. Guidance for Preventing Birth Defects

    Science.gov (United States)

    ... some health problems for the baby, such as low birth weight. It’s never too late to quit smoking. Learn more about smoking during pregnancy » Avoid marijuana and other “street drugs”. A ... a baby who is born preterm, of low birth weight, or has other health problems, such as ...

  20. Prediction of Spontaneous Preterm Birth

    NARCIS (Netherlands)

    Dijkstra, Karolien

    2002-01-01

    Preterm birth is a leading cause of neonatal morbidity and mortality. It is a major goal in obstetrics to lower the incidence of spontaneous preterm birth (SPB) and related neonatal morbidity and mortality. One of the principal objectives is to discover early markers that would allow us to identify

  1. Exploring the association between short/long preceding birth intervals and child mortality: using reference birth interval children of the same mother as comparison

    OpenAIRE

    Kozuki, Naoko; Walker, Neff

    2013-01-01

    Background This study used data from recent Demographic and Health Surveys (DHS) to examine the impact of short or long preceding birth intervals on neonatal and under-five mortality. In order to minimize the effect of selection issues, we examined child mortality outcomes of the same mother, comparing short or long interval births against births with what had previously been considered optimal intervals. Methods We analyzed 47 DHS datasets from low- and middle-income countries. For each data...

  2. Facial nerve palsy due to birth trauma

    Science.gov (United States)

    Seventh cranial nerve palsy due to birth trauma; Facial palsy - birth trauma; Facial palsy - neonate; Facial palsy - infant ... this condition. Some factors that can cause birth trauma (injury) include: Large baby size (may be seen ...

  3. Reference birthweight range for multiple birth neonates in Japan

    Directory of Open Access Journals (Sweden)

    Kato Noriko

    2004-02-01

    Full Text Available Abstract Background A reference range for the birthweight of multiple births neonates is necessary for the assessment for intrauterine growth. Methods Pairs of multiple births were identified by birthplace, the ages of the parents, gestational age, and the year and month of birth. We studied a total of 32,232 livebirth-livebirth pairs of twins, 1894 triplet live births, and 206 quadruplet live births. Results The median birthweight of males, taking gestational age into account, was ca. 0.05 kg–0.1 kg heavier than that of females. Compared to singleton neonates, the median birthweight of twins was ca. 0.15 kg smaller at the gestational age of 34 weeks, increasing to ca. 0.5 kg at 42 weeks of gestation. As for birth order, the mean birthweight of the first-born twin was heavier than that of the second-born. The standard deviation of birthweight was larger for second-born twins. The birthweight of twins from multiparous mothers was greater than those from primiparous mothers. The median birthweight according to gestational age was found to be the greatest in twins, lower in triplets and the lowest in quadruplets. In triplets, the 50th percentile was 0.08 kg heavier in boys than for girls. Conclusion Our results can be used for assessment of birthweight of multiple births in Japan.

  4. Correlates of Low Birth Weight

    Directory of Open Access Journals (Sweden)

    Ankur Barua MD, PhD

    2014-12-01

    Full Text Available Background. Low birth weight is the single most important factor that determines the chances of child survival. A recent annual estimation indicated that nearly 8 million infants are born with low birth weight in India. The infant mortality rate is about 20 times greater for all low birth weight babies. Methods. A matched case–control study was conducted on 130 low birth weight babies and 130 controls for 12 months (from August 1, 2007, to July 31, 2008 at the Central Referral Hospital, Tadong, East District of Sikkim, India. Data were analyzed using the Statistical Package for Social Sciences, version 10.0 for Windows. Chi-square test and multiple logistic regression were applied. A P value less than .05 was considered as significant. Results. In the first phase of this study, 711 newborn babies, borne by 680 mothers, were screened at the Central Referral Hospital of Sikkim during the 1-year study period, and the proportion of low birth weight babies was determined to be 130 (18.3%. Conclusion. Multiple logistic regression analysis, conducted in the second phase, revealed that low or middle socioeconomic status, maternal underweight, twin pregnancy, previous history of delivery of low birth weight babies, smoking and consumption of alcohol during pregnancy, and congenital anomalies had independent significant association with low birth weight in this study population.

  5. Intrauterine Infections and Birth Defects

    Institute of Scientific and Technical Information of China (English)

    XIAO-YING ZHENG; XIN-MING SONG; LI-HUA PANG; YING JI; HONG-MEI SUN; LEI ZHANG; JU-FEN LIU; YAN-LING GUO; YAN ZHANG; TING ZHANG; YI-FEI WANG; CHEN XU; GONG CHEN; RUOLEI XIN; JIA-PENG CHEN; XU-MEI HU; QING YANG

    2004-01-01

    Intrauterine infection is an important cause of some birth defects worldwide. The most common pathogens include rubella virus, cytomegaloviurs, ureaplasma urealyticum, toxoplasma, etc. General information about these pathogens in epidemiology, consequence of birth defects, and the possible mechanisms in the progress of birth defects, and the interventions to prevent or treat these pathogens' infections are described. The infections caused by rubella virus, cytomegaloviurs, ureaplasma urealyticum, toxoplasma, etc. are common, yet they are proved to be fatal during the pregnant period, especially during the first trimester. These infections may cause sterility, abortion, stillbirth, low birth weight, and affect multiple organs that may induce loss of hearing and vision, even fetal deformity and the long-term effects. These pathogens' infections may influence the microenvironment of placenta, including levels of enzymes and cytokines, and affect chondriosome that may induce the progress of birth defect. Early diagnosis of infections during pregnancy should be strengthened. There are still many things to be settled, such as the molecular mechanisms of birth defects, the effective vaccines to certain pathogens. Birth defect researches in terms of etiology and the development of applicable and sensitive pathogen detection technology and methods are imperative.

  6. Cranial birth trauma; Kraniales Geburtstrauma

    Energy Technology Data Exchange (ETDEWEB)

    Papanagiotou, P.; Roth, C.; Politi, M.; Zimmer, A.; Reith, W. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostische und Interventionelle Neuroradiologie, Homburg/Saar (Germany); Rohrer, T. [Universitaetsklinikum des Saarlandes, Klinik fuer Allgemeine Paediatrie und Neonatologie, Homburg/Saar (Germany)

    2009-10-15

    Injuries to an infant that result during the birth process are categorized as birth trauma. Cranial injuries due to mechanical forces such as compression or traction include caput succedaneum, cephalhematoma, subgaleal hematoma and intracranial hemorrhaging. Hypoxic ischemic encephalopathy is the consequence of systemic asphyxia occurring during birth. (orig.) [German] Als Geburtstrauma werden die Verletzungen des Saeuglings bezeichnet, die waehrend der Geburt stattfinden. Zu den Verletzungen, die am Schaedel auftreten koennen und hauptsaechlich durch mechanische Kraefte wie Kompression oder Traktion verursacht werden, gehoeren das Caput succedaneum, das Zephalhaematom, das subgaleale Haematom und die intrakranielle Blutung. Die hypoxisch-ischaemische Enzephalopathie ist die Folge einer systemischen Asphyxie waehrend der Geburt. (orig.)

  7. A dream birth? Try hypnobirthing!

    Science.gov (United States)

    Graves, Katharine

    2013-09-01

    Hypnobirthing is often regarded as a method of pain relief without drugs. This is to miss the point, as it presupposes that pain is there in the first place. When a woman learns to release the preconceptions, fears and worries about birth that are endemic in our society, her experience of giving birth to her baby can be the most wonderful and empowering experience of her life. Mind and body working together can be a powerful and efficient combination. This is how birth is designed to be, as midwives and hospitals are beginning to discover. Thus hypnobirthing can provide a service that women want as well as save scarce NHS funds.

  8. Profile and birthing practices of Maranao traditional birth attendants

    OpenAIRE

    Maghuyop-Butalid R; Mayo NA; Polangi HT

    2015-01-01

    Roselyn Maghuyop-Butalid, Norhanifa A Mayo, Hania T Polangi College of Nursing, Mindanao State University-Iligan Institute of Technology, Iligan City, Philippines Abstract: This study determined the profile and birthing practices in both modern and traditional ways among Maranao traditional birth attendants (TBAs) in Lanao del Norte, Philippines. It employed a descriptive research design. The respondents were 50 Maranao TBAs selected through the snowball sampling technique. A quest...

  9. Birth Order Effects on Holland Type, Occupational Interests, and Values.

    Science.gov (United States)

    Hartung, Paul J.; Leong, Frederick T. L.; Grotti, Shannon D.; Goh, David; Gaylor, Michael

    This investigation examined in two different samples, whether only children differ significantly from firstborn and later-born children in terms of their vocational personality type as described in Holland's RIASEC model, occupational interests, and work values. Literature on family configuration and vocational behavior is reviewed, and current…

  10. Birth Order, Gender and Affiliation in Various Situations.

    Science.gov (United States)

    Fox, Shaul

    1981-01-01

    Administered two questionnaires to 800 Israeli subjects which examine the affiliation need in four groups of situations. No differences were found between first and later-borns in their tendency to associate with others. Results showed significant interaction between sex and specific situational factors. (Author/RC)

  11. THE INFLUENCE OF THE ECONOMIC GROWTH ON THE BIRTH RATE

    Directory of Open Access Journals (Sweden)

    SAVU MIHAELA

    2013-02-01

    Full Text Available The changes occurred over time in the population have effects on the economy, especially the reductions in thebirth rate which may lead to disturbances in the population structure. The relationship between the economic growthand the birth rate in Romania is analysed over an 11-year period, in order to see its intensity. The presentation of theevolution of the gross domestic product and of the birth rate is completed by the calculation of the Spearmancoefficient for determining the intensity of the relationship between the two indicators. The decrease of the birth rate isdetermined, to a modest extent, by the economic growth, with a wide range of factors that influence it. In this situation,the establishment and implementation of a birth rate recovery strategy is highly necessary to reduce the imbalancecreated in the population structure.

  12. The Survey of Birth Defects Rate Based on Birth Registration System

    Institute of Scientific and Technical Information of China (English)

    Min Yu; Zhiguang Ping; Shuiping Zhang; Yuying He; Rui Dong; Xiong Guo

    2015-01-01

    Background:To investigate the surveillance trend of birth defects,incidence,distribution,occurrence regularity,and their relevant factors in Xi'an City in the last 10 years for proposing control measures.Methods:The birth defects monitoring data of infants during perinatal period (28 weeks of gestation to 7 days after birth) were collected from obstetrics departments of all hospitals during 2003-2012.Microsoft Excel 2003 was used for data input,and Statistical Package for the Social Sciences version 16.0 (International Business Machines Corporation,New York,NY,USA) was used for descriptive analysis.x2 test,Spearman correlation and linear-by-linear association trend test were used for statistical analyses.Results:The birth defect rate declined from 9.18% in 2003 to 7.00% in 2012 (x2 =45.00 l,P < 0.01) with a mean value of 7.85%,which is below the Chinese national average level (x2 =20.451,P < 0.01).The order of five most common birth defects has changed.The incidence of congenital heart disease (CHD) increased with time,particularly after 2012,it became the most frequent type (rs =0.808,P < 0.001).Till then,the number of neural tube defects (NTDs) declined significantly (x2 =76.254,P < 0.01).The average birth defects rate of 8.11% in rural areas was higher than that in urban areas (7.56%,x2 =7.919,P < 0.01) and much higher in males (8.28%) than that in females (7.18%,x2 =32.397,P < 0.0 1).Maternal age older than 35 years (x2 =35.298,P < 0.01) is the most dangerous age bracket of birth defects than maternal age younger than 20 years (x2 =7.128,P < 0.0l).Conclusions:A downward trend of birth defects was observed in Xi'an City from 2003 to 2012.NTDs significantly decreased after large-scale supplemental folic acid intervention,while the incidence rate of CHD significantly increased.

  13. 改良 HEL PERR 程序预防肩难产致新生儿产伤及对产妇身心状况的影响%The modified HELPERR procedures to prevent the shoulder dystocia and neonatal birth and impact on the physical and mental status of pregnant women

    Institute of Scientific and Technical Information of China (English)

    李艳

    2015-01-01

    目的:探讨改良 HELPERR程序预防肩难产致新生儿产伤及对产妇身心状况的影响。方法选择2010年1月~2011年7月我科收治的175例肩难产产妇设为对照组,采取常规 HELPERR程序助产接生;选取2013年1月~2014年7月收治的184例肩难产产妇设为研究组,采取改良 HELPERR程序应用于阴道分娩全程。比较两组新生儿产伤、产后并发症发生率、产后抑郁症发生率及满意度。结果研究组窒息、骨骼损伤、臂丛神经损伤及胸锁乳突肌血肿发生率均低于对照组,有显著性差异(P<0.05)。产后出血、产道损伤、产褥感染及耻骨联合分离发生率低于对照组,有显著性差异(P<0.05)。研究组产褥期抑郁症发生率低于对照组,有显著性差异(P<0.05)。研究组满意度高于对照组,有显著性差异(P<0.05)。结论改良 HELPERR程序能降低肩难产致新生儿产伤及产妇并发症发生率,同时还能提高产妇心理舒适度,降低产后抑郁症发生率,取得较为满意的临床效果。%Objective To explore the modified HELPERR procedures to prevent the shoulder dystocia and neonatal birth and impact on the physical and mental status of pregnant women ,and for high risk parturient shoulder dystocia optimization scheme of evidence-based data accumulation .Methods A retrospective analysis of 175 cases of maternal shoulder dystocia in our hospital in 2010 January ~2011 year in July obstetrics were set as control group ,take ,conventional HELPERR pro‐gram development of midwifery delivery ;184 cases of shoulder selects my courtyard in 2013 January ~2014 year in July ob‐stetrics from dystocia maternal ,set as study group ,to adopt a modified HELPERR procedure applied to the whole process of vaginal delivery .Recorded the incidence of two groups of neonatal and maternal complications ,and two groups were com‐pared with the incidence of postpartum depression

  14. Especially for Teens: Birth Control

    Science.gov (United States)

    ... at the same time each day. It contains hormones that prevent pregnancy. There are many types of birth control pills. ... arm or buttock every 3 months. It contains hormones that prevent pregnancy. What is the implant? The implant is a ...

  15. Understanding Pregnancy and Birth Issues

    Science.gov (United States)

    ... Navigation Bar Home Current Issue Past Issues Understanding Pregnancy and Birth Issues Past Issues / Winter 2008 Table ... turn Javascript on. What is a High-Risk Pregnancy? All pregnancies involve a certain degree of risk ...

  16. 改进的二维三阶半离散中心迎风格式%Modified Two Dimensional Third-order Semi-discrete Central-upwind Scheme

    Institute of Scientific and Technical Information of China (English)

    侯天相; 纪珍

    2012-01-01

    对二维三阶半离散中心迎风格式中的权函数给出了简化改进.在保持格式精度的基础上,改进后的权函数在二维情况下具有更加简单直接的结构而且严格非负.该改进方法得到的格式仍然具有半离散中心迎风格式的优点,同时保持了重构函数的非振性.时间离散采用保持强稳定性的三阶Runge-Kutta方法,并利用四阶Lax-Wendroff(L-W)格式计算磁流体算例中的磁场散度.用该修正格式计算了二维磁流体数值算例,得到高精度无振荡的结果,验证了此方法的有效性.%The semi-discrete central-upwind scheme is a new Godunov type numerical method which is developed in 1990s. The scheme is widely used in the computational fluid dynamics and its advantages include the simple calculation process, the high calculation precision and so on. But for the third-order scheme, the positivity of the weight function and the non-oscillation of the WENO type reconstruction function in every direction cannot be preserved in two dimensional problems. In this article, a simple, direct modification is taken to the weight function of the two dimensional third-order semi-discrete central-upwind scheme. The modified weight function will keep the posi- tivity all the time while the accuracy of the semi-discrete central-upwind method is preserved. The revised scheme still has the advantages of central-upwind schemes and it keeps the non-oscillation of reconstruction. To explore the potential capability of application of this reformation of weight func- tion, two Magnetohydrodynamics (MHD) problems are simulated. In simulations, the third order Runge-Kutta method is used to solve the time evolution and the divergence of magnetic field was calculated by fourth-order Lax-Wendroff (L-W) scheme. All the numerical results demonstrate the modified scheme can solve the MHD equations stably, get high resolution and non-oscillatory results, keep the positivity of the weight

  17. MMW image restoration based on the combination of NNSC shrinkage technique and modified four-order PDE model%组合NNSC收缩技术和改进四阶PDE的MMW图像恢复

    Institute of Scientific and Technical Information of China (English)

    尚丽; 苏品刚; 颜廷秦; 淮文军

    2013-01-01

    A millimeter wave (MMW) image contains much unknown noise, and the restoration quality is worse only using sole method. Combined the advantages of non - negative sparse coding (NNSC) shrinkage technique and modified four - order partial differential equation (PDE), a combination based MMW image restoration method is proposed. The NNSC shrinkage method behaves adaptive property of denoising and is irrelative to the data attribute. The modified four - order PDE can delete the stair- casing effect, generated by the two- order PDE, and avoid the un- smoothing phenomenon of flat region, and behaves the better effect on image restoration. Utilizing respectively the simulated and true MMW image to test and the relative signal noise ratio (RSNR) to measure the quality of restored results, and compared with methods of NNSC shrinkage, four- order PDE and wavelet shrinkage, experimental results show that the method proposed here is efficient in the MMW image restoration.%毫米波(MMW)图像含有大量未知噪声,仅用一种方法恢复的效果较差,因此结合非负稀疏编码(NNSC)收缩技术和改进四阶偏微分方程(PDE)模型的优点,提出了一种基于组合处理的MMW图像恢复方法.NNSC收缩法具有自适应消噪图像的特性,和数据的属性无关;而改进四阶PDE能够消除二阶PDE产生的阶梯效应,同时避免光滑区域不平整的现象,具有较好的图像恢复效果.分别采用模拟的和真实的MMW图像进行测试,并用相对信噪比(RSNR)进行评判,实验表明,与NNSC收缩、基于四阶的PDE模型以及小波收缩等方法相比,所提出的方法能够有效地用于MMW图像的恢复.

  18. Magnitude and Correlates of Low Birth Weight at Term in Rural Wardha, Central India

    Directory of Open Access Journals (Sweden)

    Kumar V

    2016-05-01

    Full Text Available Introduction: Birth weight is one of the most important determinant of the neonatal and infant survival. The goal of reducing low birth weight incidence by at least one third between 2000 and 2010 was one of the major goals in ‘A World Fit for Children’. The prevention of low birth weight is a public health priority, particularly in developing countries with high magnitude. Knowledge regarding magnitude and correlates help prevent the condition. Hence, the present study was carried out to study the magnitude and the correlates of low birth weight. Methodology: Two hundred and six newborn babies were recruited on a birth cohort from two Primary Health Centres (PHC of Wardha district to study growth in first year of life. Here, we present the baseline analysis of 172 children who were born full term to study the correlates of low birth weight babies born full term. The children were recruited within first week of their birth. Data was collected on socio-demographic profile, birth history, and maternal characteristics. Proportion of low birth weight was expressed in percentage along with 95% confidence interval. Univariate and multivariate logistic regression was used to study the correlates. Findings are expressed in odds ratios with their 95% confidence intervals. Results: The magnitude of low birth weight at term was found to be 33.1% (95% CI: 26.4%-40.4%. On univariate analysis, significant correlates of low birth weight were consumption of less than 50 iron-folic acid tables and being born to than mother. On multivariate analysis, the significant correlates were female sex of child (OR=2.856, being born to thin mother (OR=5.320, consumption of less than 50 tablets (OR=4.648, and complications of pregnancy (OR=2.917. Conclusions: The magnitude of low birth weight is very high and modifiable correlates of low birth weight are nutritional status of mother, lower consumption of IFA tablets and complications of pregnancy.

  19. Birth weight discordance and perinatal mortality among triplets

    Directory of Open Access Journals (Sweden)

    Egić Amira

    2005-01-01

    Full Text Available INTRODUCTION. The incidence of multiple births has increased in the last decade. Perinatal mortality in triplets is significantly greater than in twin and singleton births. OBJECTIVE. The objective of this study was to describe the extent of birth weight discordance among triplets and to identify its association with an increased risk of perinatal mortality. METHOD A retrospective analysis of triplet births, for the period 1993-2003, was conducted at the Gynaecological-Obstetric Clinic "Narodni Front" in Belgrade. Birth weight discordance was defined as the difference in birth weight between the largest and the smallest triplet's weight of more than 20%. RESULTS. The rate of triplets has increased by almost 75% between the first (7.7% and the last (29.6% 5-year period of the last decade. Triplets are becoming more common because of the frequent use of assisted reproductive technology as a treatment for infertility. In the period 1993-2003, there were a total of 40 triplet live births (24 weeks and greater with incidence of 0.06%. There was no clear association between maternal age, parity, method of conception, birth gestational age, and disorders complicating pregnancy with birth discordance more than 20%. Regarding birth weight groups, statistical significance occurred only in the <999 grams group for discordant and in the 2000-2499 grams group for concordant triplets. Overall, the perinatal mortality rate in the group was 10.8%, the foetal mortality rate was 1.7% (2/120, and the neonatal (0-28 days mortality rate was 9.1% (11/120. An odds ratio of 95% confidence interval shows 3 times greater risk for adverse perinatal outcome in the discordant group. However, the difference was not significant. CONCLUSION. Increasing birth weight discordance may increase the risk of adverse perinatal outcome. Triplet pregnancies, being high risk, require intensive antenatal care in order to prevent preterm delivery and ultrasound in order to diagnose foetal

  20. Gestational age, mode of birth and breastmilk feeding all influence acute early childhood gastroenteritis: a record-linkage cohort study

    OpenAIRE

    Bentley, Jason P; Simpson, Judy M; Bowen, Jenny R.; Morris, Jonathan M.; Roberts, Christine L; Nassar, Natasha

    2016-01-01

    Background Acute gastroenteritis (AGE) is a leading cause of infectious morbidity in childhood. Clinical studies have implicated caesarean section, early birth and formula feeding in modifying normal gut microbiota development and immune system homeostasis in early life. Rates of early birth and cesarean delivery are also increasing worldwide. This study aimed to investigate the independent and combined associations of the mode and timing of birth and breastmilk feeding with AGE hospitalisati...

  1. Obstetric Care Consensus No. 4 Summary: Periviable Birth.

    Science.gov (United States)

    2016-06-01

    Approximately 0.5% of all births occur before the third trimester of pregnancy, and these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. A recent executive summary of proceedings from a joint workshop defined periviable birth as delivery occurring from 20 0/7 weeks to 25 6/7 weeks of gestation. When delivery is anticipated near the limit of viability, families and health care teams are faced with complex and ethically challenging decisions. Multiple factors have been found to be associated with short-term and long-term outcomes of periviable births in addition to gestational age at birth. These include, but are not limited to, nonmodifiable factors (eg, fetal sex, weight, plurality), potentially modifiable antepartum and intrapartum factors (eg, location of delivery, intent to intervene by cesarean delivery or induction for delivery, administration of antenatal corticosteroids and magnesium sulfate), and postnatal management (eg, starting or withholding and continuing or withdrawing intensive care after birth). Antepartum and intrapartum management options vary depending upon the specific circumstances but may include short-term tocolytic therapy for preterm labor to allow time for administration of antenatal steroids, antibiotics to prolong latency after preterm premature rupture of membranes or for intrapartum group B streptococci prophylaxis, and delivery, including cesarean delivery, for concern regarding fetal well-being or fetal malpresentation. Whenever possible, periviable births for which maternal or neonatal intervention is planned should occur in centers that offer expertise in maternal and neonatal care and the needed infrastructure, including intensive care units, to support such services. This document describes newborn outcomes after periviable birth, provides current evidence and recommendations regarding interventions in this setting, and provides an outline for family counseling with the goal of

  2. Children born with very low birth weight show difficulties with sustained attention but not response inhibition.

    Science.gov (United States)

    Johnson, Katherine A; Healy, Elaine; Dooley, Barbara; Kelly, Simon P; McNicholas, Fiona

    2015-01-01

    Children born with very low birth weight perform poorly on executive function and attention measures. Any difficulties with sustained attention may underpin impairments in performance on tasks measuring higher order cognitive control. Previous sustained attention research in very low birth weight cohorts has used tasks that involve arousing stimuli, potentially spoiling the measure of sustained attention. The aim of this study was to compare the performance of very low birth weight and normal birth weight children on a well-controlled task of sustained attention. The Fixed and Random versions of the Sustained Attention to Response Task were given to 17 very low birth weight and 18 normal birth weight children. The very low birth weight group performed the Fixed and Random Sustained Attention to Response Tasks in a similar manner as the normal birth weight group on all measures except for the omission error and Slow Frequency Area under the Spectra variables on the Fixed Sustained Attention to Response Task. These measures index lapses in sustained attention that may be underpinned by declining arousal. The very low birth weight group showed no response inhibition deficits. Omission errors and slow-timescale response-time variability on predictable tasks may thus present sensitive indices of difficulties with sustained attention and arousal associated with premature birth and low birth weight.

  3. 基于改进的有序子集的SAGE算法在PET图像重建中的应用%Application of SAGE algorithm in PET image reconstruction using modified ordered subsets

    Institute of Scientific and Technical Information of China (English)

    朱宏擎; 舒华忠; 周健; 罗立民

    2005-01-01

    A new method that uses a modified ordered subsets (MOS) algorithm to improve the convergence rate of space-alternating generalized expectation-maximization (SAGE) algorithm for positron emission tomography (PET) image reconstruction is proposed.In the MOS-SAGE algorithm,the number of projections and the access order of the subsets are modified in order to improve the quality of the reconstructed images and accelerate the convergence speed.The number of projections in a subset increases as follows:2,4,8,16,32 and 64.This sequence means that the high frequency component is recovered first and the low frequency component is recovered in the succeeding iteration steps.In addition,the neighboring subsets are separated as much as possible so that the correlation of projections can be decreased and the convergences can be speeded up.The application of the proposed method to simulated and real images shows that the MOS-SAGE algorithm has better performance than the SAGE algorithm and the OSEM algorithm in convergence and image quality.%提出了一种利用修改的有序子集(MOS)方法改进空间交替广义期望最大(SAGE)算法收敛性的方法.新的可变有序子集算法(MOS-SAGE)通过修改投影数据的数目和子集的排列循序加速收敛速度.其中每一个子集中的投影数目按2,4,8,16,32,64来排列以便重建算法首先恢复高频部分信息,然后重建低频部分信息.另外新算法还使相邻子集尽可能分离以减少投影间的相关性,达到加速收敛的效果.实验中,运用MOS-SAGE算法对计算机仿真的PET投影数据和实际的临床数据进行重建.几种误差分析结果表明,MOS-SAGE算法的收敛性能比SAGE算法和有序子集期望最大算法(OSEM)要快,重建后的图像更接近仿真用的模板图像.

  4. 28 CFR 551.21 - Birth control.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Birth control. 551.21 Section 551.21... Birth Control, Pregnancy, Child Placement, and Abortion § 551.21 Birth control. Medical staff shall provide an inmate with advice and consultation about methods for birth control and, where...

  5. [Proportional hazards model of birth intervals among marriage cohorts since the 1960s].

    Science.gov (United States)

    Otani, K

    1987-01-01

    With a view to investigating the possibility of an attitudinal change towards the timing of 1st and 2nd births, proportional hazards model analysis of the 1st and 2nd birth intervals and univariate life table analysis were both carried out. Results showed that love matches and conjugal families immediately after marriage are accompanied by a longer 1st birth interval than others, even after controlling for other independent variables. Marriage cohort analysis also shows a net effect on the relative risk of having a 1st birth. Marriage cohorts since the mid-1960s demonstrate a shorter 1st birth interval than the 1961-63 cohort. With regard to the 2nd birth interval, longer 1st birth intervals, arranged marriages, conjugal families immediately following marriage, and higher ages at 1st marriage of women tended to provoke a longer 2nd birth interval. There is no interaction between the 1st birth interval and marriage cohort. Once other independent variables were controlled, with the exception of the marriage cohorts of the early 1970s, the authors found no effect of marriage cohort on the relative risk of having a 2nd birth. This suggests that an attitudinal change towards the timing of births in this period was mainly restricted to that of a 1st birth. Fluctuations in the 2nd birth interval during the 1970-72 marriage cohort were scrutinized in detail. As a result, the authors found that conjugal families after marriage, wives with low educational status, women with husbands in white collar professions, women with white collar fathers, and wives with high age at 1st marriage who married during 1970-72 and had a 1st birth interval during 1972-74 suffered most from the pronounced rise in the 2nd birth interval. This might be due to the relatively high sensitivity to a change in socioeconomic status; the oil crisis occurring around the time of marriage and 1st birth induced a delay in the 2nd birth. The unanimous decrease in the 2nd birth interval among the 1973

  6. Impact of family planning programs in reducing high-risk births due to younger and older maternal age, short birth intervals, and high parity.

    Science.gov (United States)

    Brown, Win; Ahmed, Saifuddin; Roche, Neil; Sonneveldt, Emily; Darmstadt, Gary L

    2015-08-01

    Several studies show that maternal and neonatal/infant mortality risks increase with younger and older maternal age (34 years), high parity (birth order >3), and short birth intervals (Oaxaca decomposition technique, we then examine the contributions of family planning program, economic development (GDP per capita), and educational improvement (secondary school completion rate) on the progress of MCPR in order to link the net contribution of family planning program to the reduction of high-risk births mediated through contraceptive use. Countries that had the fastest progress in improving MCPR experienced the greatest declines in high-risk births due to short birth intervals (3), and older maternal age (>35 years). Births among younger women <18 years, however, did not decline significantly during this period. The decomposition analysis suggests that 63% of the increase in MCPR was due to family planning program efforts, 21% due to economic development, and 17% due to social advancement through women's education. Improvement in MCPR, predominately due to family planning programs, is a major driver of the decline in the burden of high-risk births due to high parity, shorter birth intervals, and older maternal age in developing countries. The lack of progress in the decline of births in younger women <18 years of age underscores the need for more attention to ensure that quality contraceptive methods are available to adolescent women in order to delay first births. This study substantiates the significance of family planning programming as a major health intervention for preventing high-risk births and associated maternal and child mortality, but it highlights the need for concerted efforts to strengthen service provision for adolescents.

  7. Modified cyanobacteria

    Science.gov (United States)

    Vermaas, Willem F J.

    2014-06-17

    Disclosed is a modified photoautotrophic bacterium comprising genes of interest that are modified in terms of their expression and/or coding region sequence, wherein modification of the genes of interest increases production of a desired product in the bacterium relative to the amount of the desired product production in a photoautotrophic bacterium that is not modified with respect to the genes of interest.

  8. Sex, birth weight, and the risk of stillbirth in Scotland, 1980-1996.

    Science.gov (United States)

    Smith, G C

    2000-03-15

    The aim of this study was to determine whether the risk of stillbirth associated with male fetal sex was modified by fetal growth. The study group consisted of all singleton first births weighing greater than 500 g delivered between 28 and 43 weeks gestation in Scotland in 1980-1996 (n = 469,152). Overall, male fetuses were at an increased risk of stillbirth (relative risk = 1.19, 95 percent confidence interval: 1.10, 1.29). There was a significant negative interaction between male sex and increasing birth weight quintile in term, but not preterm, births. The interaction was virtually identical when calculated independently for births in the periods 1980-1987 and 1988-1996. There were linear decreases in the proportion of stillbirths and the proportion of birth weights in the lowest quintile over the period 1980-1996. Adjustment for year of birth did not affect the relation between male sex and stillbirth. However, adjustment for birth weight resulted in a loss of the association between year of birth and risk of stillbirth. The authors concluded that 1) the association between male sex and stillbirth diminishes with increasing birth weight quintile, and 2) there was a fall in the proportion of stillbirths in Scotland between 1980 and 1996, which may have been due to a fall in the proportion of small babies over the same period.

  9. Liberalization of Birth Control and the Unmarried Share of Births

    DEFF Research Database (Denmark)

    Kennes, John; Knowles, John

    Half of unmarried births are to women who are already mothers, and a quarter to women who were previously married. We develop a model of equilibrium matching and fertility to replicate these facts. We use the model to revisit the hypothesis that liberalization of the Pill and abortion caused...... the massive increase since 1960 in the share of US births to unmarried women. Our results suggest that liberalization alone is ineffective; what matters are interactions between liberalization and the decline in the stability of marriage, and, secondarily, the rising status of single mothers....

  10. Birth in Brazil: national survey into labour and birth

    Directory of Open Access Journals (Sweden)

    do Carmo Leal Maria

    2012-08-01

    Full Text Available Abstract Background Caesarean section rates in Brazil have been steadily increasing. In 2009, for the first time, the number of children born by this type of procedure was greater than the number of vaginal births. Caesarean section is associated with a series of adverse effects on the women and newborn, and recent evidence suggests that the increasing rates of prematurity and low birth weight in Brazil are associated to the increasing rates of Caesarean section and labour induction. Methods Nationwide hospital-based cohort study of postnatal women and their offspring with follow-up at 45 to 60 days after birth. The sample was stratified by geographic macro-region, type of the municipality and by type of hospital governance. The number of postnatal women sampled was 23,940, distributed in 191 municipalities throughout Brazil. Two electronic questionnaires were applied to the postnatal women, one baseline face-to-face and one follow-up telephone interview. Two other questionnaires were filled with information on patients’ medical records and to assess hospital facilities. The primary outcome was the percentage of Caesarean sections (total, elective and according to Robson’s groups. Secondary outcomes were: post-partum pain; breastfeeding initiation; severe/near miss maternal morbidity; reasons for maternal mortality; prematurity; low birth weight; use of oxygen use after birth and mechanical ventilation; admission to neonatal ICU; stillbirths; neonatal mortality; readmission in hospital; use of surfactant; asphyxia; severe/near miss neonatal morbidity. The association between variables were investigated using bivariate, stratified and multivariate model analyses. Statistical tests were applied according to data distribution and homogeneity of variances of groups to be compared. All analyses were taken into consideration for the complex sample design. Discussion This study, for the first time, depicts a national panorama of labour and birth

  11. Diabetes mellitus and birth defects

    Science.gov (United States)

    Correa, Adolfo; Gilboa, Suzanne M.; Besser, Lilah M.; Botto, Lorenzo D.; Moore, Cynthia A.; Hobbs, Charlotte A.; Cleves, Mario A.; Riehle-Colarusso, Tiffany J.; Waller, D. Kim; Reece, E. Albert

    2016-01-01

    OBJECTIVE The purpose of this study was to examine associations between diabetes mellitus and 39 birth defects. STUDY DESIGN This was a multicenter case-control study of mothers of infants who were born with (n = 13,030) and without (n = 4895) birth defects in the National Birth Defects Prevention Study (1997–2003). RESULTS Pregestational diabetes mellitus (PGDM) was associated significantly with noncardiac defects (isolated, 7/23 defects; multiples, 13/23 defects) and cardiac defects (isolated, 11/16 defects; multiples, 8/16 defects). Adjusted odds ratios for PGDM and all isolated and multiple defects were 3.17 (95% CI, 2.20–4.99) and 8.62 (95% CI, 5.27–14.10), respectively. Gestational diabetes mellitus (GDM) was associated with fewer noncardiac defects (isolated, 3/23 defects; multiples, 3/23 defects) and cardiac defects (isolated, 3/16 defects; multiples, 2/16 defects). Odds ratios between GDM and all isolated and multiple defects were 1.42 (95% CI, 1.17–1.73) and 1.50 (95% CI, 1.13–2.00), respectively. These associations were limited generally to offspring of women with prepregnancy body mass index ≥25 kg/m2. CONCLUSION PGDM was associated with a wide range of birth defects; GDM was associated with a limited group of birth defects. PMID:18674752

  12. Urinary System anomalies at birth

    Directory of Open Access Journals (Sweden)

    Sharada B. Menasinkai

    2015-06-01

    Full Text Available Background: Congenital anomalies of urinary system are common and are found in 3-4% of population, and lethal urinary anomalies account for 10% of termination of pregnancy. Methods: A study was done to know the incidence of congenital anomalies at birth for the period of 4 months from May 99 - Sept 99 at Cheluvamba hospital attached to Mysore medical college. Congenital anomalies in the still births, live births and aborted fetuses >20 weeks were studied along with the case history and ultrasound reports. Aborted fetuses and still born babies were collected for autopsy after the consent of parents. These babies were fixed in 10% formalin and autopsy was done after fixing, and anomalies were noted. Results: Total births during study period were 3000. There were 61 babies with congenital anomalies and 6 babies had anomalies of urinary system. Among the urinary system anomalies 1 baby had bilateral renal agenesis, 1 baby had unilateral renal agenesis with anophthalmia (Fraser syndrome, 2 babies had Multicystic dysplastic kidney disease (MCDK and 1 live baby had hydronephrosis due to obstruction at pelvi ureteric junction, and 1 live female baby had polycystic kidneys. Conclusion: Incidence of urinary system anomalies in the present study was 2 per 1000 births. U/S detection of urinary anomalies varies with period of gestation, amniotic fluid volume and visualisation of urinary bladder. Autopsy helps to detect renal agenesis. [Int J Res Med Sci 2015; 3(3.000: 743-748

  13. Validity of recalled v. recorded birth weight: a systematic review and meta-analysis.

    Science.gov (United States)

    Shenkin, S D; Zhang, M G; Der, G; Mathur, S; Mina, T H; Reynolds, R M

    2017-04-01

    Low birth weight is associated with adverse health outcomes. If birth weight records are not available, studies may use recalled birth weight. It is unclear whether this is reliable. We performed a systematic review and meta-analysis of studies comparing recalled with recorded birth weights. We followed the Meta-Analyses of Observational Studies in Epidemiology (MOOSE) statement and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched MEDLINE, EMBASE and Cumulative Index to Nursing and Allied Health Literature (CINAHL) to May 2015. We included studies that reported recalled birth weight and recorded birth weight. We excluded studies investigating a clinical population. Two reviewers independently reviewed citations, extracted data, assessed risk of bias. Data were pooled in a random effects meta-analysis for correlation and mean difference. In total, 40 studies were eligible for qualitative synthesis (n=78,997 births from 78,196 parents). Agreement between recalled and recorded birth weight was high: pooled estimate of correlation in 23 samples from 19 studies (n=7406) was 0.90 [95% confidence interval (CI) 0.87-0.93]. The difference between recalled and recorded birth weight in 29 samples from 26 studies (n=29,293) was small [range -86-129 g; random effects estimate 1.4 g (95% CI -4.0-6.9 g)]. Studies were heterogeneous, with no evidence for an effect of time since birth, person reporting, recall bias, or birth order. In post-hoc subgroup analysis, recall was higher than recorded birth weight by 80 g (95% CI 57-103 g) in low and middle income countries. In conclusion, there is high agreement between recalled and recorded birth weight. If birth weight is recalled, it is suitable for use in epidemiological studies, at least in high income countries.

  14. Alarming Rise In Birth Defects

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    A rapid rise in birth defects has prompted China to look for causes and solutionsEvery 60 seconds two children are born in China with a handicap.It’s an alarming fact,but one that young adults across the country who hope to have children face every day. At a conference on the prevention of birth defects in Chengdu of Sichuan Province in September,Vice Minister of the National Population and Family Planning Commission Jiang Fan revealed this inconvenient truth, supported by shocking statistics.

  15. Team training for safer birth.

    Science.gov (United States)

    Cornthwaite, Katie; Alvarez, Mary; Siassakos, Dimitrios

    2015-11-01

    Effective and coordinated teamworking is key to achieving safe birth for mothers and babies. Confidential enquiries have repeatedly identified deficiencies in teamwork as factors contributing to poor maternal and neonatal outcomes. The ingredients of a successful multi-professional team are varied, but research has identified some fundamental teamwork behaviours, with good communication, proficient leadership and situational awareness at the heart. Simple, evidence-based methods in teamwork training can be seamlessly integrated into a core, mandatory obstetric emergency training. Training should be an enjoyable, inclusive and beneficial experience for members of staff. Training in teamwork can lead to improved clinical outcomes and better birth experience for women.

  16. Traditional Birth Attendant Training and Local Birthing Practices in India

    Science.gov (United States)

    Saravanan, Sheela; Turrell, Gavin; Johnson, Helen; Fraser, Jenny; Patterson, Carla

    2011-01-01

    Training birth attendants (TBAs) to provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training…

  17. Simultaneous determination of nickel and copper by H-point standard addition method-first-order derivative spectrophotometry in plant samples after separation and preconcentration on modified natural clinoptilolite as a new sorbent.

    Science.gov (United States)

    Roohparvar, Rasool; Taher, Mohammad Ali; Mohadesi, Alireza

    2008-01-01

    For the simultaneous determination of nickel(ll) and copper(ll) in plant samples, a rapid and accurate method was developed. In this method, solid-phase extraction (SPE) and first-order derivative spectrophotometry (FDS) are combined, and the result is coupled with the H-point standard addition method (HPSAM). Compared with normal spectrophotometry, derivative spectrophotometry offers the advantages of increased selectivity and sensitivity. As there is no need for carrying out any pretreatment of the sample, the spectrophotometry method is easy, but because of a high detection limit, it is not so practical. In order to decrease the detection limit, it is suggested to combine spectrophotometry with a preconcentration method such as SPE. In the present work, after separation and preconcentration of Ni(ll) and Cu(ll) on modified clinoptilolite zeolite that is loaded with 2-[1-(2-hydroxy-5-sulforphenyl)-3-phenyl-5-formaza-no]-benzoic acid monosodium salt (zincon) as a selective chromogenic reagent, FDS-HPSAM, which is a simple and selective spectrophotometric method, has been applied for simultaneous determination of these ions. With optimum conditions, the detection limit in original solutions is 0.7 and 0.5 ng/mL, respectively, for nickel and copper. The linear concentration ranges in the proposed method for nickel and copper ions in original solutions are 1.1 to 3.0 x 10(3) and 0.9 to 2.0 x 10(3) ng/mL, respectively. The recommended procedure is applied to successful determination of Cu(ll) and Ni(ll) in standard and real samples.

  18. Suburban Legend: School Cutoff Dates and the Timing of Births

    Science.gov (United States)

    Dickert-Conlin, Stacy; Elder, Todd

    2010-01-01

    Many states require children to reach age 5 by a specified date in the calendar year in order to begin kindergarten. We use birth certificate records from 1999 to 2004 to assess whether parents systematically time childbirth before these eligibility cutoff dates to capture the option value of sending their child to school at a relatively young…

  19. Effect of prenatal exposure to kitchen fuel on birth weight

    Directory of Open Access Journals (Sweden)

    Yugantara Ramesh Kadam

    2013-01-01

    Full Text Available Background: Maternal exposure to kitchen fuel smoke may lead to impaired fetal growth. Objective: To study the effect of exposure to various kitchen fuels on birth weight. Methodology : Study type: Retrospective analytical. Study setting: Hospital based. Study Subjects: Mothers and their newborns. Inclusion Criteria: Mothers registered in first trimester with minimum 3 visits, non-anemic, full-term, and singleton delivery. Exclusion Criteria: History of Pregnancy Induced Hypertension (PIH, Diabetes Mellitus (DM, tobacco chewers or mishri users. Sample size: 328 mothers and their new-borne. Study period: Six months. Study tools: Chi-square, Z-test, ANOVA, and binary logistic regression. Results: Effect of confounders on birth weight was tested and found to be non-significant. Mean ± SD of birth weight was 2.669 ± 0.442 in Liquid Petroleium Gas (LPG users (n = 178, 2.465 ± 0.465 in wood users (n = 94, 2.557 ± 0.603 in LPG + wood users (n = 27 and 2.617 ± 0.470 in kerosene users (n = 29. Infants born to wood users had lowest birth weight and averagely 204 g lighter than LPG users (F = 4.056, P < 0.01. Percentage of newborns with low birth weight (LBW in wood users was 44.68% which was significantly higher than in LPG users (24.16%, LPG + wood users (40.74% and in kerosene users (34.48% (Chi-square = 12.926, P < 0.01. As duration of exposure to wood fuel increases there is significant decline in birth weight (F = 3.825, P < 0.05. By using logistic regression type of fuel is only best predictor. Conclusion: Cooking with wood fuel is a significant risk-factor for LBW, which is modifiable.

  20. Community Factors Influencing Birth Spacing among Married Women in Uganda and Zimbabwe.

    Science.gov (United States)

    McGuire, Courtney; Stephenson, Rob

    2015-03-01

    Short birth spacing continues to be a problem in Uganda and Zimbabwe, resulting in negative infant, child, and maternal health outcomes. This study investigates community-level influences on birth spacing outcomes among women aged 15-49 in Uganda and Zimbabwe, using Demographic and Health Surveys conducted in 2011 (Uganda) and 2010-2011 (Zimbabwe). Women living in communities with higher mean maternal age, mean age at marriage, and mean parity were significantly more likely to have longer birth spacing. Women living in communities with higher levels of contraceptive use and low levels of unmet contraceptive need were more likely to have short birth spacing. The significance of community-level demographic and fertility norms, gender norms, economic prosperity, and family planning behaviors demonstrate the broad influence of community variables on birth spacing outcomes. This analysis highlights the importance of moving beyond individual and household-level interventions in order to harness the power of contextual influences on birth spacing.

  1. Spinal cord injury at birth

    DEFF Research Database (Denmark)

    Fenger-Gron, Jesper; Kock, Kirsten; Nielsen, Rasmus G;

    2008-01-01

    UNLABELLED: A case of perinatally acquired spinal cord injury (SCI) is presented. The foetus was vigorous until birth, the breech presented and delivery was performed by a non-traumatic Caesarean section. The infant displayed symptoms of severe SCI but diagnosis was delayed due to severe co...

  2. The Birth of a Torpedo

    Directory of Open Access Journals (Sweden)

    Yuri F. Katorin

    2015-09-01

    Full Text Available The article describes the history of the birth of a torpedo, the roles of Robert Whitehead and Giovanni Lupis, specifies the technical characteristics of the first samples, and analyzes the difficul-ties faced in their development, and gives some samples of alternative products of this purpose.

  3. Preterm birth and its outcome

    Directory of Open Access Journals (Sweden)

    Farhin Radhanpuri

    2014-02-01

    Conclusions: In our population preterm birth is more common in poor socio economic status, women with anaemia, malnutrition and these factors can be eliminated by proper nutrition and health education by health workers. [Int J Reprod Contracept Obstet Gynecol 2014; 3(1.000: 153-157

  4. Particulate matter and preterm birth

    Science.gov (United States)

    Particulate matter (PM) has been variably associated with preterm birth (PTB) (gestation <37 weeks), but the role played by specific chemical components of PM has been little studied. We examined the association between ambient PM <2.5 micrometers in aerodynamic diameter (PM2.S) ...

  5. Preterm Birth: Transition to Adulthood

    Science.gov (United States)

    Allen, Marilee C.; Cristofalo, Elizabeth; Kim, Christina

    2010-01-01

    Preterm birth is associated with greater difficulty with transitions from childhood to adolescence to adulthood. Adolescents and young adults born preterm have higher rates of cerebral palsy, intellectual disability, cognitive impairment, learning disability, executive dysfunction, attention deficit disorder, and social-emotional difficulties than…

  6. Births: Final Data for 2012

    Science.gov (United States)

    ... 9, December 30, 2013 Table 25. Preterm and low birthweight births, by age and race and Hispanic origin of mother: United States, 2012 Age and race and Hispanic origin of mother Preterm 1 Percent Number Total Early 3 Late 4 Total Early 3 Late 4 Unknown Total ...

  7. Intertwining and commutation relations for birth-death processes

    CERN Document Server

    Chafai, Djalil

    2010-01-01

    Given a birth-death process on N with semigroup P_t and a discrete gradient D depending on a positive weight u, we establish intertwining relations of the form D P_t = Q_t D, where Q_t is the Feynman-Kac semigroup with potential V_u of another birth-death process. We provide applications when V_u is positive and uniformly bounded from below, including Lipschitz contraction and Wasserstein curvature, various functional inequalities, and stochastic orderings. The proofs are remarkably simple and rely on interpolation, commutation, and convexity.

  8. The ideology and politics of birth control in inter-war England.

    Science.gov (United States)

    Lewis, J

    1979-01-01

    examine why the official response was so limited and the implications this had for the relationship of women to welfare policy. When the government took the first steps toward granting access to birth control information, it did so on health grounds. No further liberalization of the law occurred and the argument that all women had the right of access to birth control information in order to space and limit the number of births was ignored. The population scare outweighted the case for birth control as a maternal and a racial measure by the mid 1930s.

  9. Training traditional birth attendants in southern Sudan.

    Science.gov (United States)

    Haarsager, Mary

    2008-01-01

    Traditional birth attendants are currently the principal service providers to pregnant women in southern Sudan. A training program provides education to promote maternal and newborn health as well as birth preparedness and establishes mechanisms for supportive supervision.

  10. Microcephaly and Other Birth Defects: Zika

    Science.gov (United States)

    ... ol Português Recommend on Facebook Tweet Share Compartir Zika and Microcephaly Microcephaly is a birth defect in ... pregnancy or has stopped growing after birth. Congenital Zika Syndrome Congenital Zika syndrome is a pattern of ...

  11. Births and deaths including fetal deaths

    Data.gov (United States)

    U.S. Department of Health & Human Services — Access to a variety of United States birth and death files including fetal deaths: Birth Files, 1968-2009; 1995-2005; Fetal death file, 1982-2005; Mortality files,...

  12. INCOME INCONGRUITY, RACE AND PRETERM BIRTH

    Science.gov (United States)

    Previous research with vital records finds income incongruity associated with adverse birth outcomes. We examined the effects of negative income incongruity (reporting lower household income than the census tract median household income) on preterm birth (PTB <37 weeks completed ...

  13. Disease Human - MDC_LowBirthWeight

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Polygon feature class based on Zip Code boundaries showing the percentage of babies born in Miami-Dade County in 2006 with low birth weights. Low birth weight is...

  14. INCOME INCONGRUITY, RACE AND PRETERM BIRTH (PTB)

    Science.gov (United States)

    Previous research using birth records has found income incongruity associated with adverse birth outcomes. The effects of negative income incongruity (reporting lower household income than the census tract median household income) on PTB (<37 weeks completed gestation) are examin...

  15. Infant Development: Birth to 3 Months

    Science.gov (United States)

    Healthy Lifestyle Infant and toddler health Infant development begins at birth. Consider major infant development milestones from birth to 3 months — and know what to do when something's not right. By ...

  16. Promotion of birth spacing on Idjwi Island, Zaire.

    Science.gov (United States)

    Caraël, M; Stanbury, J B

    1983-05-01

    Idjwi Island in Lake Kivu in eastern Zaire supports approximately 50,000 largely subsistence farmers, the Bani-Iju. Rapid population growth, a declining economy, and a deteriorating environment have already converged to produce significant malnutrition in this isolated community. The highly structured and traditional social order, particularly regarding reproductive mores, is examined here in its relevance to an intervention program for reducing the demographic pressure by increasing birth spacing. The mean birth interval of approximately three years appears to be shrinking, and is far too brief to prevent rapid population growth. The program, which included films about contraception, did not lead to a longer birth interval among the Bani-Iju, but did succeed in informing women about family planning. It is concluded that no intervention program for promotion of family planning is likely to be effective without substantial improvement in the economy.

  17. Birth in prison: pregnancy and birth behind bars in Brazil.

    Science.gov (United States)

    Leal, Maria do Carmo; Ayres, Barbara Vasques da Silva; Esteves-Pereira, Ana Paula; Sánchez, Alexandra Roma; Larouzé, Bernard

    2016-06-01

    The high vulnerability of incarcerated women is worsened when they are pregnant and give birth during imprisonment. This article traces the profile of incarcerated women living with their children in female prison units of the capitals and metropolitan regions of Brazil and describes pregnancy and childbirth conditions and healthcare practices while in incarceration. This study is an analysis of a series of cases resultant from a national census conducted between August 2012 and January 2014. This analysis included 241 mothers. Of these, 45% were younger than 25 years old, 57% were dark skinned, 53% had studied less than eight years and 83% were multiparous. At the time of incarceration, 89% were already pregnant and two thirds did not want the current pregnancy. Access to prenatal care was inadequate for 36% of the women. During their hospital stay, 15% referred to having suffered some type of violence (verbal, psychological, or physical). Only 15% of the mothers rated the care received during their hospital stay as excellent. They had low social/familial support and more than one third reported the use of handcuffs during their hospital stay. Incarcerated mothers received poorer healthcare during pregnancy and birth when compared with non-incarcerated users of the public sector. This study also found violations of human rights, especially during birth.

  18. Factors Influencing Positive Birth Experiences of First-Time Mothers

    Directory of Open Access Journals (Sweden)

    Lena Nilsson

    2013-01-01

    Full Text Available Objectives. The objective of this study was to describe first-time mothers’ experiences and reflections of their first birth. Study Design. This study is a part of a larger study which was carried out in southwestern Sweden in 2008. A qualitative method with content analysis was chosen for this study. The unit of data was 14 written narratives from the first-time mothers. Results. The theme “To be empowered increases first-time mothers’ chances for a positive birth experience” crossed over into all the three categories: “To trust the body and to face the pain,” “Interaction between body and mind in giving birth,” and “Consistency of support.” Conclusion. In order to feel confident in their first childbirth, the women wanted to be confirmed and seen as unique individuals by the professionals and their partner. If professionals responded to the individual woman’s needs of support, the woman more often had a positive birth experience, even if the birth was protracted or with medical complications.

  19. Birth-death processes and associated polynomials

    NARCIS (Netherlands)

    Doorn, van Erik A.

    2003-01-01

    We consider birth-death processes on the nonnegative integers and the corresponding sequences of orthogonal polynomials called birth-death polynomials. The sequence of associated polynomials linked with a sequence of birth-death polynomials and its orthogonalizing measure can be used in the analysis

  20. Birthing Centers and Hospital Maternity Services

    Science.gov (United States)

    ... necessary to treat sick babies and moms. A birth center can provide natural pain control and pain control with mild narcotic medications, ... be an option. Women who want a natural birth with minimal medical intervention or pain control may feel more comfortable in a birth ...

  1. A study of birth weight of full term neonates and its′ determinants

    Directory of Open Access Journals (Sweden)

    Yugantara R Kadam

    2014-01-01

    Full Text Available Background: Low birth weight (LBW is highly prevalent in India and has a multifactorial causation. There is a need to study and identify the modifiable and non-modifiable risk factors determining birth weight. This will help in planning ante natal care more effectively. Materials and Methods : Study-type-cross-sectional study-setting: Hospital based. Study-subject: Mothers and their new borns. Sample size: All the births taken place during the study period. Study period: July 2010-June 2011. Study tools : (0 i Questionnaire. (ii pediatric weighing machine. Inclusion criteria : m0 others attending ante natal care (ANC clinic from 1 st trimester with minimum three antenatal visits, non-anemic at the end of 2 nd trimester, had full-term and singleton delivery. Exclusion criteria : H/O pregnancy induced hypertension (PIH, diabetes mellieutus (DM, tuberculosis (TB, urinary tract infection (UTI, delivered preterm and tobacco chewers or mishri users. Statistical Analysis : Percentages, mean and SD of birth weight, χ2 test, ANOVA, Z-test, and Binary logistic. Results: By using birth weight as a continuous data it was observed that birth-weight was significantly associated with maternal age (F = 3.360, df = 2, P = 0.035, education (F = 4.401, df = 4, P = 0.002 and breakfast (z = 3.970, P = 0.00. Proportion of LBW was 42.4%. For analysis, groups of newborns on the basis of birth weight showed significant association between LBW and maternal education (χ2 = 12.734, df = 4, P = 0.013, breakfast (χ2 = 13.241, df = 1, P = 0.00 and evening snacks (χ2 = 4.275, df = 1, P = 0.013. According to the binary logistic regression, breakfast and education were significant and best predictors for birth weight. Conclusion: Education and breakfast are strong determinants of birth-weight. Less educated women need more intense health education.

  2. The Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Olsen, J; Melbye, M; Olsen, S F;

    2001-01-01

    component causes that act early in life. Exposures in this period, which influence fetal growth, cell divisions, and organ functioning, may have long-lasting impact on health and disease susceptibility. METHODS: To investigate these issues the Danish National Birth Cohort (Better health for mother and child...... bank has been set up with blood taken from the mother twice during pregnancy and blood from the umbilical cord taken shortly after birth. Data collection started in 1996 and the project covered all regions in Denmark in 1999. By August 2000. a total of 60,000 pregnant women had been recruited...... to the study. It is expected that a large number of gene-environmental hypotheses need to be based on case-control analyses within a cohort like this....

  3. Allostatic Load and Preterm Birth

    Directory of Open Access Journals (Sweden)

    David M. Olson

    2015-12-01

    Full Text Available Preterm birth is a universal health problem that is one of the largest unmet medical needs contributing to the global burden of disease. Adding to its complexity is that there are no means to predict who is at risk when pregnancy begins or when women will actually deliver. Until these problems are addressed, there will be no interventions to reduce the risk because those who should be treated will not be known. Considerable evidence now exists that chronic life, generational or accumulated stress is a risk factor for preterm delivery in animal models and in women. This wear and tear on the body and mind is called allostatic load. This review explores the evidence that chronic stress contributes to preterm birth and other adverse pregnancy outcomes in animal and human studies. It explores how allostatic load can be used to, firstly, model stress and preterm birth in animal models and, secondly, how it can be used to develop a predictive model to assess relative risk among women in early pregnancy. Once care providers know who is in the highest risk group, interventions can be developed and applied to mitigate their risk.

  4. Latitude, birth date, and allergy.

    Directory of Open Access Journals (Sweden)

    Matthias Wjst

    2005-10-01

    Full Text Available BACKGROUND: The space and time distribution of risk factors for allergic diseases may provide insights into disease mechanisms. Allergy is believed to vary by month of birth, but multinational studies taking into account latitude have not been conducted. METHODS AND FINDINGS: A questionnaire was distributed in 54 centres to a representative sample of 20- to 44-y-old men and women mainly in Europe but also including regions in North Africa, India, North America, Australia, and New Zealand. Data from 200,682 participants were analyzed. The median prevalence of allergic rhinitis was 22%, with a substantial variation across centres. Overall, allergic rhinitis decreased with geographical latitude, but there were many exceptions. No increase in prevalence during certain winters could be observed. Also, no altered risk by birth month was found, except borderline reduced risks in September and October. Effect estimates obtained by a multivariate analysis of total and specific IgE values in 18,085 individuals also excluded major birth month effects and confirmed the independent effect of language grouping. CONCLUSION: Neither time point of first exposure to certain allergens nor early infections during winter months seems to be a major factor for adult allergy. Although there might be effects of climate or environmental UV exposure by latitude, influences within language groups seem to be more important, reflecting so far unknown genetic or cultural risk factors.

  5. The multisensory approach to birth and aromatherapy.

    Science.gov (United States)

    Gutteridge, Kathryn

    2014-05-01

    The birth environment continues to be a subject of midwifery discourse within theory and practice. This article discusses the birth environment from the perspective of understanding the aromas and aromatherapy for the benefit of women and midwives The dynamic between the olfactory system and stimulation of normal birth processes proves to be fascinating. By examining other health models of care we can incorporate simple but powerful methods that can shape clinical outcomes. There is still more that midwives can do by using aromatherapy in the context of a multisensory approach to make birth environments synchronise with women's potential to birth in a positive way.

  6. Generation and control of multi-scroll chaotic attractors in fractional order systems

    Energy Technology Data Exchange (ETDEWEB)

    Ahmad, Wajdi M. [Department of Electrical and Computer Engineering, University of Sharjah, P.O. Box 27272, Sharjah (United Arab Emirates)] e-mail: wajdi@sharjah.ac.ae

    2005-08-01

    The objective of this paper is twofold: on one hand we demonstrate the generation of multi-scroll attractors in fractional order chaotic systems. Then, we design state feedback controllers to eliminate chaos from the system trajectories. It is demonstrated that modifying the underlying nonlinearity of the fractional chaotic system results in the birth of multiple chaotic attractors, thus forming the so called multi-scroll attractors. The presence of chaotic behavior is evidenced by a positive largest Lyapunov exponent computed for the output time series. We investigate generation and control of multi-scroll attractors in two different models, both of which are fractional order and chaotic: an electronic oscillator, and a mechanical 'jerk' model. The current findings extend previously reported results on generation of n-scroll attractors from the domain of integer order to the domain of fractional order chaotic systems, and addresses the issue of controlling such chaotic behaviors. Our investigations are validated through numerical simulations.

  7. Genetic basis of susceptibility to teratogen induced birth defects.

    Science.gov (United States)

    Wlodarczyk, Bogdan J; Palacios, Ana M; Chapa, Claudia J; Zhu, Huiping; George, Timothy M; Finnell, Richard H

    2011-08-15

    Birth defects remain the leading cause of infant death in US. The field of teratology has been focused on the causes and underlying mechanisms of birth defects for decades, yet our understanding of these critical issues remain unacceptably vague. Conclusions from years of animal and human studies made it clear that the vast majority of birth defects have multifactorial origins, with contributions from environmental and genetic factors. The environment comprises not only of the physical, biological, and chemical external environment surrounding the pregnant woman, but it also includes the internal environment of the woman's body that interact with the developing embryo in a complex fashion. The importance of maternal and embryonic genetic factors consisting of countless genetic variants/mutations that exist within every individual contribute to birth defect susceptibility is only now being more fully appreciated. This great complexity of the genome and its diversity within individuals and populations seems to be the principal reason why the same teratogenic exposure can induce severe malformation in one embryo, while fail to do so to other exposed embryos. As the interaction between genetic and environmental factors has long been recognized as the first "Principle of Teratology" by Wilson and Warkany [1965. Teratology: Principles and techniques. Chicago: University of Chicago Press], it is only recently that the appropriate investigative tools have been developed with which to fully investigate this fundamental principle. The introduction of high throughput technologies like whole genome sequencing or genome-wide association studies are promising to deliver an enormous amount of new data that will shed light on the genomic factors that contribute susceptibility to environmental teratogens. In this review, we attempt to summarize the epidemiological and experimental literature concerning birth defects whose phenotypic expression can be clearly related to the

  8. Body size at birth is associated with food and nutrient intake in adulthood.

    Directory of Open Access Journals (Sweden)

    Mia-Maria Perälä

    Full Text Available BACKGROUND: Small body size at birth is associated with an increased risk of cardiovascular disease and type 2 diabetes. Dietary habits are tightly linked with these disorders, but the association between body size at birth and adult diet has been little studied. We examined the association between body size at birth and intake of foods and macronutrients in adulthood. METHODOLOGY/PRINCIPAL FINDINGS: We studied 1797 participants, aged 56 to 70, of the Helsinki Birth Cohort Study, whose birth weight and length were recorded. Preterm births were excluded. During a clinical study, diet was assessed with a validated food-frequency questionnaire. A linear regression model adjusted for potential confounders was used to assess the associations. Intake of fruits and berries was 13.26 g (95% confidence interval [CI]: 0.56, 25.96 higher per 1 kg/m(3 increase in ponderal index (PI at birth, and 83.16 g (95% CI: 17.76, 148.56 higher per 1 kg higher birth weight. One unit higher PI at birth was associated with 0.14% of energy (E% lower intake of fat (95% CI: -0.26, -0.03 and 0.18 E% higher intake of carbohydrates (95% CI: 0.04, 0.32 as well as 0.08 E% higher sucrose (95% CI: 0.00, 0.15, 0.05 E% higher fructose (95% CI: 0.01, 0.09, and 0.18 g higher fiber (95% CI: 0.02, 0.34 intake in adulthood. Similar associations were observed between birth weight and macronutrient intake. CONCLUSIONS: Prenatal growth may modify later life food and macronutrient intake. Altered dietary habits could potentially explain an increased risk of chronic disease in individuals born with small body size.

  9. Body Size at Birth Is Associated with Food and Nutrient Intake in Adulthood

    Science.gov (United States)

    Perälä, Mia-Maria; Männistö, Satu; Kaartinen, Niina E.; Kajantie, Eero; Osmond, Clive; Barker, David J. P.; Valsta, Liisa M.; Eriksson, Johan G.

    2012-01-01

    Background Small body size at birth is associated with an increased risk of cardiovascular disease and type 2 diabetes. Dietary habits are tightly linked with these disorders, but the association between body size at birth and adult diet has been little studied. We examined the association between body size at birth and intake of foods and macronutrients in adulthood. Methodology/Principal Findings We studied 1797 participants, aged 56 to 70, of the Helsinki Birth Cohort Study, whose birth weight and length were recorded. Preterm births were excluded. During a clinical study, diet was assessed with a validated food-frequency questionnaire. A linear regression model adjusted for potential confounders was used to assess the associations. Intake of fruits and berries was 13.26 g (95% confidence interval [CI]: 0.56, 25.96) higher per 1 kg/m3 increase in ponderal index (PI) at birth, and 83.16 g (95% CI: 17.76, 148.56) higher per 1 kg higher birth weight. One unit higher PI at birth was associated with 0.14% of energy (E%) lower intake of fat (95% CI: -0.26, -0.03) and 0.18 E% higher intake of carbohydrates (95% CI: 0.04, 0.32) as well as 0.08 E% higher sucrose (95% CI: 0.00, 0.15), 0.05 E% higher fructose (95% CI: 0.01, 0.09), and 0.18 g higher fiber (95% CI: 0.02, 0.34) intake in adulthood. Similar associations were observed between birth weight and macronutrient intake. Conclusions Prenatal growth may modify later life food and macronutrient intake. Altered dietary habits could potentially explain an increased risk of chronic disease in individuals born with small body size. PMID:23049962

  10. Levels and correlates of non-adherence to WHO recommended inter-birth intervals in Rufiji, Tanzania

    Directory of Open Access Journals (Sweden)

    Exavery Amon

    2012-12-01

    Full Text Available Abstract Background Poorly spaced pregnancies have been documented worldwide to result in adverse maternal and child health outcomes. The World Health Organization (WHO recommends a minimum inter-birth interval of 33 months between two consecutive live births in order to reduce the risk of adverse maternal and child health outcomes. However, birth spacing practices in many developing countries, including Tanzania, remain scantly addressed. Methods Longitudinal data collected in the Rufiji Health and Demographic Surveillance System (HDSS from January 1999 to December 2010 were analyzed to investigate birth spacing practices among women of childbearing age. The outcome variable, non-adherence to the minimum inter-birth interval, constituted all inter-birth intervals Results A total of 15,373 inter-birth intervals were recorded from 8,980 women aged 15–49 years in Rufiji district over the follow-up period of 11 years. The median inter-birth interval was 33.4 months. Of the 15,373 inter-birth intervals, 48.4% were below the WHO recommended minimum length of 33 months between two live births. Non-adherence was associated with younger maternal age, low maternal education, multiple births from the preceding pregnancy, non-health facility delivery of the preceding birth, being an in-migrant resident, multi-parity and being married. Conclusion Generally, one in every two inter-birth intervals among 15–49 year-old women in Rufiji district is poorly spaced, with significant variations by socio-demographic and behavioral characteristics of mothers and newborns. Maternal, newborn and child health services should be improved with a special emphasis on community- and health facility-based optimum birth spacing education in order to enhance health outcomes of mothers and their babies, especially in rural settings.

  11. Multiple births and maternal mental health from pregnancy to 5 years after birth: A longitudinal population-based cohort study

    Directory of Open Access Journals (Sweden)

    Eivind Ystrom

    2014-12-01

    Full Text Available Background: There is a lack of population-based studies on multiple births and maternal mental health. Having a high-risk pregnancy by bearing two or more children is a stressful life event, and the challenges of parenting two or more children probably also lead to a high level of parental stress. There are a few results on multiple births and maternal mental health from studies on in vitro fertilization samples. The only previous cohort study on multiple birth and maternal mental health included a single measure of depressive symptoms at 9 months postpartum. We aim to estimate the relative risk for depression and anxiety after multiple birth in a population-based prospective cohort study while adjusting for factors prior and subsequent to fertilization.Methods: We used data from 87,807 pregnancies included in the Norwegian Mother and Child Cohort study. Information on multiple birth was retrieved from the Norwegian Medical Birth Registry, and maternal mental health was assessed at 17th and 30th week of gestation and 0.5, 1.5, 3, and 5 years postpartum. There were 1,842 plural births included in the study (i.e. 1,821 twin births and 21 higher order births. We predicted maternal mental health at each time point, subsequently adjusting for 1 factors prior to fertilization (e.g. maternal age and in vitro fertilization; 2 factors during pregnancy (e.g. hypertensive states; 3 factors at delivery (e.g. cesarean section; 4 child-related postnatal complications (e.g. intracranial hemorrhage; and 5 concurrent depression or anxiety after pregnancy.Results: Adjusted for antecedents of plural birth, mothers expecting a plural birth had a normal risk for anxiety (RR=1.05; 95% CI 0.92-1.20 and depression (RR=1.02; 95% CI 0.89-1.16 at 17th week of gestation. However, plural birth was associated with maternal depression at 1.5, 3, and 5 years postpartum and maternal anxiety at 3 years postpartum. The trend was for the association to increase across time, and

  12. Intrauterine nicotine exposure, birth weight, gestational age and the risk of infantile colic

    DEFF Research Database (Denmark)

    Milidou, Ioanna; Søndergaard, Charlotte; Jensen, Morten Søndergaard;

    Background Preterm and growth restricted infants may have developmental delays or deviant organ function related to the central nervous system and the gastrointestinal tract. Since both organ systems are hypothesized to be involved in the pathogenesis of infantile colic, a condition characterized...... by excessive crying during the first months of life, impaired fetal growth and preterm birth may be risk factors for infantile colic. Objectives To investigate the association between gestational age, birth weight, and infantile colic. Methods We used maternal interviews from the Danish National Birth Cohort...... (1996 to 2002) conducted at gestational week 17 and at six months post partum. We included 62 761 live-born singletons with complete information on birth weight, gestational age, and crying symptoms recorded at six months of age. Infantile colic was defined according to Wessel's modified criteria...

  13. Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth

    Directory of Open Access Journals (Sweden)

    Namrata Bhatia

    2015-08-01

    Full Text Available We examined the associations of mothers’ perception of neighborhood quality and maternal resilience with risk of preterm birth and whether maternal resilience moderated the effect of neighborhood quality perception. We analyzed data from 10,758 women with singleton births who participated in 2010–2012 Los Angeles Mommy and Baby surveys. Multilevel logistic regression models assessed the effects of mothers’ perception of neighborhood quality and maternal resilience on preterm birth (yes/no, controlling for potential confounders and economic hardship index, a city-level measure of neighborhood quality. Interaction terms were assessed for moderation. Mothers’ perception of neighborhood quality and maternal resilience were each uniquely associated with preterm birth, independent of potential confounders (p-values < 0.05. The risk of preterm birth among mothers who perceived their neighborhood as of poor quality was about 30% greater compared to mothers who perceived their neighborhood as of good quality; the risk was 12% greater among mothers with low resilience compared to those with high resilience. Effects of neighborhood quality were not modified by maternal resilience. The findings suggest that mothers’ perception of neighborhood quality and resilience are associated with the risk of preterm birth. Further research should explore whether initiatives aimed at improving neighborhood quality and women’s self-esteem may improve birth outcomes.

  14. Reasons Why Women Choose Home Birth

    Directory of Open Access Journals (Sweden)

    Mary Angelie P. Andrino

    2016-11-01

    Full Text Available Maternal deaths in the Philippines remain high. These deaths are mostly due to the large proportion of home births, complications of pregnancy and delivery, and lack of access to facilities and competently trained staff. Utilizing a descriptive, one-shot survey design, the study aimed to determine the reasons why women in a municipality in Iloilo prefer home birth. The respondents were interviewed using a validated questionnaire. Descriptive statistics were used to analyze and interpret the findings. The study revealed that the proportion of home births progressively declined from 2012 to 2014. Birth being imminent or inevitable is the number one reason that supports home birth. Autonomy, safety, affordability, readily available birthing equipment and supplies, accessibility of birth attendant, remote access by going to the birthing center, lack of transportation, and bad weather conditions also led women to give birth at home. Women from the rural areas of the municipality utilized available resources in the community which prompted the predominance of home deliveries assisted by traditional birth attendants (TBAs and even midwives, who were readily available nearby. This study recommends continuous improvement in existing maternal health interventions and strategies through engagement of women in policy planning, improvement of health service delivery, infrastructural enhancement, better care practices and continuous health education.

  15. Birth of a new galaxy

    CERN Multimedia

    Rodgers, L

    2001-01-01

    Scientists using the Hubble telescope have been amazed by the number of stars being created in galaxy NGC 3310. But while some scientists are observing the birth of new stars, others are predicting the end of the universe. According to supersymmetry it is possible that the universe could spontaneously change to a state where the electric force is switched off, resulting in the disintegration of all matter. Called 'vacuum fluctuation', this event is even less likely than winning the lottery jackpot twice in the same day however (1/2 page).

  16. The domestication of human birth

    Directory of Open Access Journals (Sweden)

    Sofija Stefanović

    2006-12-01

    Full Text Available Observations of the burial places of newborns at the prehistoric site at Lepenski Vir (Serbia revealed the possibility that deliveries took place inside houses that were heated. Warm houses provided a thermally stable environment which, in turn, could solve the problem of thermoregulation, that is critical for the survival of babies. In this study it is shown that the creation of these good conditions for giving birth could have been an important step in human evolution that could have led to a demographic expansion.

  17. Relationship between Periodontal Diseases and Preterm Birth: Recent Epidemiological and Biological Data

    Directory of Open Access Journals (Sweden)

    O. Huck

    2011-01-01

    Full Text Available For ten years, the incidence of preterm birth does not decrease in developed countries despite the promotion of public health programs. Many risk factors have been identified including ethnicity, age, tobacco, and infection. However, almost 50% of preterm birth causes remain unknown. The periodontal diseases are highly prevalent inflammatory and infectious diseases of tooth supporting tissues leading to an oral disability. They influence negatively general health worsening cardiovascular diseases and diabetes. Periodontal diseases have been also suspected to increase the rate of preterm birth, but data remain contradictory. The objective of this review is to present the principal results of epidemiological, biological, and interventional studies on the link between periodontal diseases and preterm birth. The conclusions of this work underline the importance for the physician/obstetrician to identify women at risk for preterm birth and to address these patients to dentist for periodontal examination and treatment in order to limit adverse pregnancy outcomes.

  18. Kinetic Behavior of Aggregation-Exchange Growth Process with Catalyzed-Birth

    Institute of Scientific and Technical Information of China (English)

    HAN An-Jia; CHEN Yu; LIN Zhen-Quan; KE Jian-Hong

    2007-01-01

    We propose an aggregation model of a two-species system to mimic the growth of cities' population and assets,in which irreversible coagulation reactions and exchange reactions occur between any two aggregates of the same species,and the monomer-birth reactions of one species occur by the catalysis of the other species.In the case with population-catalyzed birth of assets,the rate kernel of an asset aggregate Bκ of size k grows to become an aggregate Bκ+ 1through a monomer-birth catalyzed by a population aggregate Aj of size j is J(k,j) = Jkjλ.And in mutually catalyzed birth model,the birth rate kernels of population and assets are H(k,j) = Hkjη and J(k,j) = Jkjλ,respectively.The kinetics of the system is investigated based on the mean-field theory.In the model of population-catalyzed birth of assets,the long-time asymptotic behavior of the assets aggregate size distribution obeys the conventional or modified scaling form.In mutually catalyzed birth system,the asymptotic behaviors of population and assets obey the conventional scaling form in the case ofη =λ= 0,and they obey the modified scalingform in the case of η = 0,λ= 1.In the case of η = λ = 1,the total mass of population aggregates and that of asset aggregates both grow much faster than those in population-catalyzed birth of assets model,and they approaches to infinite values in finite time.

  19. Randomized trial of BCG vaccination at birth to low-birth-weight children

    DEFF Research Database (Denmark)

    Aaby, Peter; Roth, Adam Anders Edvin; Ravn, Henrik

    2011-01-01

    Observational studies have suggested that BCG may have nonspecific beneficial effects on survival. Low-birth-weight (LBW) children are not given BCG at birth in Guinea-Bissau; we conducted a randomized trial of BCG at birth (early BCG) vs delayed BCG.......Observational studies have suggested that BCG may have nonspecific beneficial effects on survival. Low-birth-weight (LBW) children are not given BCG at birth in Guinea-Bissau; we conducted a randomized trial of BCG at birth (early BCG) vs delayed BCG....

  20. Associations of birth defects with adult intellectual performance, disability and mortality: population-based cohort study.

    Science.gov (United States)

    Eide, Martha G; Skjaerven, Rolv; Irgens, Lorentz M; Bjerkedal, Tor; Oyen, Nina

    2006-06-01

    Infants born with birth defects have poorer outcomes in terms of mortality and disability, but the long-term intellectual outcome in children with birth defects is generally unknown. We assessed the long-term associations of various birth defects with mortality and disability, and evaluated whether high mortality and disability were reflected in impaired intellectual performance at age 18. In this nationwide cohort study, records of 9,186 males with and 384,384 without birth defects, registered in the Medical Birth Registry of Norway (1967-1979) were linked to the National Conscript Service (1984-1999). Mortality and disability before military draft, and intelligence test score at conscription were the main outcome measures. Males with birth defects had a relative risk for disability of 6.0 compared with males without defects. Disability was low within categories of birth defects associated with low mortality, and high within defect categories associated with high mortality. The relative risk for not being drafted was highest if maternal educational level was low. Heart defects and cleft palate were the only subgroups in which intellectual performance was lower after adjustment for maternal education, maternal age, marital status and birth order. In particular, intellectual performance was not impaired among those with multiple compared with single defects. We conclude that for the majority of birth defect categories in the present birth cohort, our hypothesis that intellectual performance would be impaired was not confirmed. Thus, there seems to be little reason to fear an adverse intellectual outcome in non-disabled surviving infants with birth defects.

  1. Purulent Bacterial Meningitis at Birth

    Directory of Open Access Journals (Sweden)

    Babak Karimi

    2015-12-01

    Full Text Available Meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, which are known as the meninges. This infection may be caused by Streptococcus pneumonia bacteria. In this study, we presented the case of a female newborn with meningitis secondary to Streptococcus pneumonia. Her birth weight and height were normal. After 24 hours of birth, the neonate was diagnosed with tachypnea, without presenting any signs of fever or respiratory distress. The newborn was referred to Sheikh Children's Hospital, where chest X-ray showed clear lungs with no evidence of abnormality. Furthermore, the cardiothoracic ratio was normal. A complete blood count demonstrated white blood cell (WBC count of 5400/uL. In Blood/Culcture ratio (B/C test, Streptococcus pneumonia was reported, and the results of the cerebrospinal fluid (CSF analysis confirmed this result. Following 14 days of receiving antibiotic therapy, the results of CSF analysis were within the normal range. Her visual and hearing examinations were normal, and demonstrated improved situation. The infant was discharged with exclusive breastfeeding.

  2. Vaginal birth after cesarean section

    Directory of Open Access Journals (Sweden)

    Vidyadhar B Bangal

    2013-01-01

    Full Text Available Background: The rate of primary cesarean section (CS is on the rise. More and more women report with a history of a previous CS. A trial of vaginal delivery can save these women from the risk of repeat CS. Aims: The study was conducted to assess the safety and success rate of vaginal birth after CS (VBAC in selected cases of one previous lower segment CS (LSCS. Materials and Methods: The prospective observational study was carried out in a tertiary care teaching hospital over a period of two years. One hundred pregnant women with a history of one previous LSCS were enrolled in the study. Results: In the present study, 85% cases had a successful VBAC and 15% underwent a repeat emergency LSCS for failed trial of vaginal delivery. Cervical dilatation of more than 3 cm at the time of admission was a significant factor in favor of a successful VBAC. Birth weight of more than 3,000 g was associated with a lower success rate of VBAC. The incidence of scar dehiscence was 2% in the present study. There was no maternal or neonatal mortality. Conclusion: Trial of VBAC in selected cases has great importance in the present era of the rising rate of primary CS especially in rural areas.

  3. Impact of doulas on healthy birth outcomes.

    Science.gov (United States)

    Gruber, Kenneth J; Cupito, Susan H; Dobson, Christina F

    2013-01-01

    Birth outcomes of two groups of socially disadvantaged mothers at risk for adverse birth outcomes, one receiving prebirth assistance from a certified doula and the other representing a sample of birthing mothers who elected to not work with a doula, were compared. All of the mothers were participants in a prenatal health and childbirth education program. Expectant mothers matched with a doula had better birth outcomes. Doula-assisted mothers were four times less likely to have a low birth weight (LBW) baby, two times less likely to experience a birth complication involving themselves or their baby, and significantly more likely to initiate breastfeeding. Communication with and encouragement from a doula throughout the pregnancy may have increased the mother's self-efficacy regarding her ability to impact her own pregnancy outcomes.

  4. Stressful life events, social health issues and low birthweight in an Australian population-based birth cohort: challenges and opportunities in antenatal care

    Directory of Open Access Journals (Sweden)

    Sutherland Georgina A

    2011-03-01

    Full Text Available Abstract Background Investment in strategies to promote 'a healthy start to life' has been identified as having the greatest potential to reduce health inequalities across the life course. The aim of this study was to examine social determinants of low birthweight in an Australian population-based birth cohort and consider implications for health policy and health care systems. Methods Population-based survey distributed by hospitals and home birth practitioners to >8000 women six months after childbirth in two states of Australia. Participants were women who gave birth to a liveborn infant in Victoria and South Australia in September/October 2007. Main outcome measures included stressful life events and social health issues, perceived discrimination in health care settings, infant birthweight. Results 4,366/8468 (52% of eligible women returned completed surveys. Two-thirds (2912/4352 reported one or more stressful life events or social health issues during pregnancy. Women reporting three or more social health issues (18%, 768/4352 were significantly more likely to have a low birthweight infant ( Conclusions There is a window of opportunity in antenatal care to implement targeted preventive interventions addressing potentially modifiable risk factors for poor maternal and infant outcomes. Developing the evidence base and infrastructure necessary in order for antenatal services to respond effectively to the social circumstances of women's lives is long overdue.

  5. Uso do índice de Kotelchuck modificado na avaliação da assistência pré-natal e sua relação com as características maternas e o peso do recém-nascido no Município do Rio de Janeiro Use of the modified Kotelchuck index in the evaluation of prenatal care and its relationship to maternal characteristics and birth weight in Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Maria do Carmo Leal

    2004-01-01

    Full Text Available O índice de Kotelchuck (IK foi modificado e utilizado para avaliar a assistência pré-natal prestada no Município do Rio de Janeiro - Brasil, em uma amostra de 9920 puérperas de parto único. Regressões multivariadas logística ordinal (RMLO e linear (RML foram utilizadas para estimar a importância de fatores demográficos, psicossociais e obstétricos no IK modificado e seus efeitos no peso ao nascer (PN, respectivamente. Apenas 38,5% das parturientes do Município do Rio de Janeiro foram classificadas como de cuidado pré-natal adequado ou intensivo. Após ajustamento por outros preditores, mantiveram-se como variáveis explicativas do IK: o nível de instrução, viver com o pai do RN, tentar abortar, diabetes, satisfação com a gravidez, cor da pele, paridade, idade e local de residência. O PN associou-se com o IK modificado, mesmo após o controle de variáveis sociodemográficas, comportamentais e biológicas. A utilização adequada da assistência pré-natal no Município do Rio de Janeiro contribuiu na prevenção do PN e as mães que menos utilizaram os serviços pré-natais têm piores condições socioeducacionais, de apoio familiar e de risco obstétrico.The Kotelchuck index (KI was modified and used to evaluate prenatal care provided in the City of Rio de Janeiro, Brazil, in a sample of 9,920 post-partum women following singleton deliveries. Ordinal logistic regression (OLR and multivariate linear regression (LMR were used to estimate the importance of demographic, psychosocial, and obstetric factors for modified KI and the effects on birth weight (BW, respectively. Only 38.5% of the sample was classified as having received adequate or intensive prenatal care. After adjusting for other predictors, the explanatory variables for KI were: mother's schooling, living with the newborn's father, attempted abortion, diabetes mellitus, satisfaction with pregnancy, skin color, parity, age, and place of residence. BW was associated

  6. Literary Gestations: Giving Birth to Writing, 1722-1831

    OpenAIRE

    2013-01-01

    This study employs a feminist theoretical lens in order to correct the commonplace critical notion that male Romantic poets embraced the metaphors of gestation and birth for their literary productions. By tracing the development of obstetric medicine and copyright law in eighteenth-century England, I demonstrate the ways in which eighteenth-century and Romantic male authors (including Samuel Richardson, Tobias Smollett, Laurence Sterne, William Blake, William Wordsworth, Samuel Taylor Colerid...

  7. Controllable entanglement sudden birth of Heisenberg spins

    Institute of Scientific and Technical Information of China (English)

    ZHENG Qiang; ZHI Qi-Jun; ZHANG Xiao-ping; REN Zhong-Zhou

    2011-01-01

    We investigate the Entanglement Sudden Birth (ESB) of two Heisenberg spins A and B. The third controller, qutrit C is introduced, which only has the Dzyaloshinskii-Moriya (DM) spin-orbit interaction with qubit B. We find that the DM interaction is necessary to induce the Entanglement Sudden Birth of the system qubits A and B, and the initial states of the system qubits and the qurit C are also important to control its Entanglement Sudden Birth.

  8. Induced vaginal birth after previous caesarean section

    OpenAIRE

    Akylbek Tussupkaliyev; Andrey Gayday; Bibigul Karimsakova; Saule Bermagambetova; Lunara Uteniyazova; Guldana Iztleuova; Gulkhanym Kusherbayeva; Meruyert Konakbayeva; Assylzada Merekeyeva; Zamira Imangaliyeva

    2016-01-01

    Introduction The rate of operative birth by Caesarean section is constantly rising. In Kazakhstan, it reaches 27 per cent. Research data confirm that the percentage of successful vaginal births after previous Caesarean section is 50–70 per cent. How safe the induction of vaginal birth after Caesarean (VBAC) remains unclear. Methodology The studied techniques of labour induction were amniotomy of the foetal bladder with the vulsellum ramus, intravaginal administra...

  9. Introducing Midwifery-led Birth Centres to Ontario

    Directory of Open Access Journals (Sweden)

    Cristina A. Mattison

    2015-03-01

    Full Text Available In Ontario, maternal health systems are changing, with an increasing variety of childbirth options being offered to low-risk pregnant women. Midwifery became a regulated profession in the province in 1994: providing primary care throughout pregnancy, labour and for up to six weeks postpartum. Currently there are three midwifery-led birth centres operating in Ontario, two of which opened in early 2014. The Ministry of Health and Long-Term Care (MoHLTC has launched these new birth centres in order to offer women more choice in health care provider and birth setting. This shift is representative of the MoHLTC’s push to move services out of hospitals and into community-based settings. While the birth centre initiative is in its early stages and a formal program evaluation is needed, it has the potential, if scaled up, to decrease the need for hospital beds as well as reduce health care costs through more appropriate care for low-risk pregnancies, leading to fewer interventions.

  10. Fertility change in Egypt: From second to third birth

    Directory of Open Access Journals (Sweden)

    Daniele Vignoli

    2006-12-01

    Full Text Available This work focuses on Egypt, a country that notwithstanding its advanced stage of socio-demographic transition has shown near stagnation in the reduction of fertility levels in the last decade. The progression from second to third birth is a crucial component in fertility change, since the reduction especially of third and higher-order births maintains the fertility decline. For this reason, the study aims at analyzing the main determinants of the third-birth intensities of Egyptian two-child mothers, applying an event-history analysis to the 2000 Egyptian Demographic and Health Survey. The study's results show that fertility differentials among the country's social groups continue to persist. Moreover, the difficult change in the fertility of women with high educational standards seems to be responsible for the stalling fertility decline during recent years. The analysis, however, has demonstrated that within the framework of the ongoing process of modernization in the country, even the most laggard groups of women showed a decrease in third-birth intensity during the 1990s. The study also reveals that the preference for at least one son in the family on the progression to the third child is weakening among women who have completed secondary education.

  11. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen

    2007-01-01

    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together with a f......A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...... with a fast acting effect on fish oil....

  12. Polwarth and Texel ewe parturition duration and its association with lamb birth asphyxia.

    Science.gov (United States)

    Dutra, F; Banchero, G

    2011-10-01

    The objective of the present study was to test the hypothesis that parturition duration is related to birth asphyxia in lambs and that asphyxia affects newborn lamb viability and vigor. Two sire and dam genotypes (Texel: TX; Polwarth: PW) and their crosses were represented in the study. Eighty lambs (25 PW sire × PW dam, 13 TX × TX, 25 TX × PW, and 17 PW × TX) born to 69 grazing ewes were used. At birth, the log₁₀ length of the second stage of parturition, birth weight, placental weight, and several body measurements were recorded on all lambs, and jugular blood samples were analyzed with the i-Stat Portable Clinical Analyzer (Abbott, Montevideo, Uruguay). A modified Apgar viability score at birth and lamb behavior during their first hour of life were recorded. Brain weight, muscle:bone ratio, and bone density were recorded in 20 male lambs (5 from each breed group) that were euthanized and dissected 24 h after birth. Data were analyzed by linear regression, least squares ANOVA, and ordinal and binary logistic regressions. Mean blood gas and acid-base variables were 7.21 ± 0.09 for pH, 18.4 ± 9.8 mmHg for partial pressure of oxygen, 53 ± 12.5 mmHg for partial pressure of carbon dioxide, and -4 ± 5.1 mmol/L for extracellular fluid base excess. Parturition duration increased with birth weight (P lambs (P lambs were born asphyxiated (pO₂ risk of asphyxia (P lambs presented at birth a 16-fold greater risk of asphyxia (P lambs appeared immature at birth, with less bone density (P lambs, suggesting that birth asphyxia is an important risk factor in perinatal lamb mortality.

  13. The joint influence of marital status, interpregnancy interval, and neighborhood on small for gestational age birth: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Wu Yuquan

    2008-02-01

    Full Text Available Abstract Background Interpregnancy interval (IPI, marital status, and neighborhood are independently associated with birth outcomes. The joint contribution of these exposures has not been evaluated. We tested for effect modification between IPI and marriage, controlling for neighborhood. Methods We analyzed a cohort of 98,330 live births in Montréal, Canada from 1997–2001 to assess IPI and marital status in relation to small for gestational age (SGA birth. Births were categorized as subsequent-born with short (intermediate (12–35 months, or long (36+ months IPI, or as firstborn. The data had a 2-level hierarchical structure, with births nested in 49 neighborhoods. We used multilevel logistic regression to obtain adjusted effect estimates. Results Marital status modified the association between IPI and SGA birth. Being unmarried relative to married was associated with SGA birth for all IPI categories, particularly for subsequent births with short (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.31–1.95 and intermediate (OR 1.48, 95% CI 1.26–1.74 IPIs. Subsequent births had a lower likelihood of SGA birth than firstborns. Intermediate IPIs were more protective for married (OR 0.50, 95% CI 0.47–0.54 than unmarried mothers (OR 0.65, 95% CI 0.56–0.76. Conclusion Being unmarried increases the likelihood of SGA birth as the IPI shortens, and the protective effect of intermediate IPIs is reduced in unmarried mothers. Marital status should be considered in recommending particular IPIs as an intervention to improve birth outcomes.

  14. Paternal occupation and birth defects: findings from the National Birth Defects Prevention Study.

    NARCIS (Netherlands)

    Desrosiers, T.A.; Herring, A.H.; Shapira, S.K.; Hooiveld, M.; Luben, T.J.; Herdt-Losavio, M.L.; Lin, S.; Olshan, A.F.

    2012-01-01

    Objectives: Several epidemiological studies have suggested that certain paternal occupations may be associated with an increased prevalence of birth defects in offspring. Using data from the National Birth Defects Prevention Study, the authors investigated the association between paternal occupation

  15. Sex-specific associations between birth weight and adult primary liver cancer in a large cohort of Danish children

    DEFF Research Database (Denmark)

    Zimmermann, Esther; Berentzen, Tina L.; Gamborg, Michael

    2016-01-01

    regression models stratified by birth cohort. During 5.1 million person-years of follow-up, 185 men and 65 women developed PLC. Sex modified the association between birth weight and adult PLC (p-value for interaction=0.0005). Compared with a sex-specific reference group of birth weights between 3.25-3.75 kg......Whether the prenatal period is critical for the development of adult primary liver cancer (PLC) is sparsely investigated. Recently, attention has been drawn to potential sex-differences in the early origins of adult disease. We investigated the association between birth weight and adult PLC......, and after accounting for diagnoses of alcohol-related disorders, viral hepatitis, and biliary cirrhosis. Prenatal exposures influence the risk of adult PLC, and the effects at the high birth weight levels appear to be sex-specific. Our findings underscore the importance of considering sex...

  16. Neonatal outcomes after preterm birth by mothers’ health insurance status at birth: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Einarsdóttir Kristjana

    2013-02-01

    Full Text Available Abstract Background Publicly insured women usually have a different demographic background to privately insured women, which is related to poor neonatal outcomes after birth. Given the difference in nature and risk of preterm versus term births, it would be important to compare adverse neonatal outcomes after preterm birth between these groups of women after eliminating the demographic differences between the groups. Methods The study population included 3085 publicly insured and 3380 privately insured, singleton, preterm deliveries (32–36 weeks gestation from Western Australia during 1998–2008. From the study population, 1016 publicly insured women were matched with 1016 privately insured women according to the propensity score of maternal demographic characteristics and pre-existing medical conditions. Neonatal outcomes were compared in the propensity score matched cohorts using conditional log-binomial regression, adjusted for antenatal risk factors. Outcomes included Apgar scores less than 7 at five minutes after birth, time until establishment of unassisted breathing (>1 minute, neonatal resuscitation (endotracheal intubation or external cardiac massage and admission to a neonatal special care unit. Results Compared with infants of privately insured women, infants of publicly insured women were more likely to receive a low Apgar score (ARR = 2.63, 95% CI = 1.06-6.52 and take longer to establish unassisted breathing (ARR = 1.61, 95% CI = 1.25-2.07, yet, they were less likely to be admitted to a special care unit (ARR = 0.84, 95% CI = 0.80-0.87. No significant differences were evident in neonatal resuscitation between the groups (ARR = 1.20, 95% CI = 0.54-2.67. Conclusions The underlying reasons for the lower rate of special care admissions in infants of publicly insured women compared with privately insured women despite the higher rate of low Apgar scores is yet to be determined. Future research is

  17. Paternal occupation and birth defects: findings from the National Birth Defects Prevention Study

    OpenAIRE

    Desrosiers, T.A.; Herring, A H; Shapira, S K; Hooiveld, M.; Luben, T.J.; Herdt-Losavio, M.L.; LIN, S.; Olshan, A.F.

    2012-01-01

    Objectives: Several epidemiological studies have suggested that certain paternal occupations may be associated with an increased prevalence of birth defects in offspring. Using data from the National Birth Defects Prevention Study, the authors investigated the association between paternal occupation and birth defects in a case–control study of cases comprising over 60 different types of birth defects (n=9998) and non-malformed controls (n=4066) with dates of delivery between 1997 and 2004. Me...

  18. Alcohol Taxes and Birth Outcomes

    Directory of Open Access Journals (Sweden)

    Ning Zhang

    2010-04-01

    Full Text Available This study examines the relationships between alcohol taxation, drinking during pregnancy, and infant health. Merged data from the US Natality Detailed Files, as well as the Behavioral Risk Factor Surveillance System (1985–2002, data regarding state taxes on beer, wine, and liquor, a state- and year-fixed-effect reduced-form regression were used. Results indicate that a one-cent ($0.01 increase in beer taxes decreased the incidence of low-birth-weight by about 1–2 percentage points. The binge drinking participation tax elasticity is −2.5 for beer and wine taxes and −9 for liquor taxes. These results demonstrate the potential intergenerational impact of increasing alcohol taxes.

  19. Retrospective Birth Dating of Cells

    Energy Technology Data Exchange (ETDEWEB)

    L.Spalding, K; Bhardwaj, R D; Buchholz, B A; Druid, H; Frisen, J

    2005-04-19

    The generation of cells in the human body has been difficult to study and our understanding of cell turnover is limited. Extensive testing of nuclear weapons resulted in a dramatic global increase in the levels of the isotope {sup 14}C in the atmosphere, followed by an exponential decrease after the test ban treaty in 1963. We show that the level of {sup 14}C in genomic DNA closely parallels atmospheric levels, and can be used to establish the time point when the DNA was synthesized and cells were born. We use this strategy to determine the age of cells in the cortex of the adult human brain, and show that whereas non-neuronal cells are exchanged, occipital neurons are as old as the individual, supporting the view that postnatal neurogenesis does not take place in this region. Retrospective birth dating is a generally applicable strategy that can be used to measure cell turnover in man under physiological and pathological conditions.

  20. Low birth weight infants and Calmette-Guérin bacillus vaccination at birth

    DEFF Research Database (Denmark)

    Roth, Adam Anders Edvin; Jensen, Henrik; Garly, May-Lill

    2004-01-01

    In developing countries, low birth weight (LBW) children are often not vaccinated with Calmette-Guérin bacillus (BCG) at birth. Recent studies have suggested that BCG may have a nonspecific beneficial effect on infant mortality. We evaluated the consequences of not vaccinating LBW children at birth...

  1. Mathematics Deficiencies in Children with Very Low Birth Weight or Very Preterm Birth

    Science.gov (United States)

    Taylor, H. Gerry; Espy, Kimberly Andrews; Anderson, Peter J.

    2009-01-01

    Children with very low birth weight (VLBW, less than 1500 g) or very preterm birth (VPTB, less than 32 weeks gestational age or GA) have more mathematics disabilities or deficiencies (MD) and higher rates of mathematics learning disabilities (MLD) than normal birth weight term-born children (NBW, greater than 2500 g and greater than 36 weeks GA).…

  2. Developmental origins of physical fitness: the Helsinki Birth Cohort Study.

    Directory of Open Access Journals (Sweden)

    Minna K Salonen

    Full Text Available BACKGROUND: Cardiorespiratory fitness (CRF is a major factor influencing health and disease outcomes including all-cause mortality and cardiovascular disease. Importantly CRF is also modifiable and could therefore have a major public health impact. Early life exposures play a major role in chronic disease development. Our aim was to explore the potential prenatal and childhood origins of CRF in later life. METHODS/PRINCIPAL FINDINGS: This sub-study of the HBCS (Helsinki Birth Cohort Study includes 606 men and women who underwent a thorough clinical examination and participated in the UKK 2-km walk test, which has been validated against a maximal exercise stress test as a measure of CRF in population studies. Data on body size at birth and growth during infancy and childhood were obtained from hospital, child welfare and school health records. Body size at birth was not associated with adult CRF. A 1 cm increase in height at 2 and 7 years was associated with 0.21 ml/kg/min (95% CI 0.02 to 0.40 and 0.16 ml/kg/min (95% CI 0.03 to 0.28 higher VO2max, respectively. Adjustment for adult lean body mass strengthened these findings. Weight at 2 and 7 years and height at 11 years became positively associated with CRF after adult lean body mass adjustment. However, a 1 kg/m(2 higher BMI at 11 years was associated with -0.57 ml/kg/min (95% CI -0.91 to -0.24 lower adult VO2max, and remained so after adjustment for adult lean body mass. CONCLUSION/SIGNIFICANCE: We did not observe any significant associations between body size at birth and CRF in later life. However, childhood growth was associated with CRF in adulthood. These findings suggest, importantly from a public point of view, that early growth may play a role in predicting adult CRF.

  3. Developmental Origins of Physical Fitness: The Helsinki Birth Cohort Study

    Science.gov (United States)

    Salonen, Minna K.; Kajantie, Eero; Osmond, Clive; Forsén, Tom; Ylihärsilä, Hilkka; Paile-Hyvärinen, Maria; Barker, D. J. P.; Eriksson, Johan G.

    2011-01-01

    Background Cardiorespiratory fitness (CRF) is a major factor influencing health and disease outcomes including all-cause mortality and cardiovascular disease. Importantly CRF is also modifiable and could therefore have a major public health impact. Early life exposures play a major role in chronic disease development. Our aim was to explore the potential prenatal and childhood origins of CRF in later life. Methods/Principal Findings This sub-study of the HBCS (Helsinki Birth Cohort Study) includes 606 men and women who underwent a thorough clinical examination and participated in the UKK 2-km walk test, which has been validated against a maximal exercise stress test as a measure of CRF in population studies. Data on body size at birth and growth during infancy and childhood were obtained from hospital, child welfare and school health records. Body size at birth was not associated with adult CRF. A 1 cm increase in height at 2 and 7 years was associated with 0.21 ml/kg/min (95% CI 0.02 to 0.40) and 0.16 ml/kg/min (95% CI 0.03 to 0.28) higher VO2max, respectively. Adjustment for adult lean body mass strengthened these findings. Weight at 2 and 7 years and height at 11 years became positively associated with CRF after adult lean body mass adjustment. However, a 1 kg/m2 higher BMI at 11 years was associated with −0.57 ml/kg/min (95% CI −0.91 to −0.24) lower adult VO2max, and remained so after adjustment for adult lean body mass. Conclusion/Significance We did not observe any significant associations between body size at birth and CRF in later life. However, childhood growth was associated with CRF in adulthood. These findings suggest, importantly from a public point of view, that early growth may play a role in predicting adult CRF. PMID:21799817

  4. Modified Ureterosigmoidostomy

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To introduce an operation procedure and evaluate the coutinence diversion results of the modified ureterosigmoidostomy after radical cystectomy. Methods Fourteen cases of bladder cancer or prostate carcinoma were operated on with modified Sigma pouch from Feb, 1998 to Dec, 1999. A longitudinal incision about 25 cm on the sigmoid uall was done to form a low pressure pouch. The vertex of the new pouch was fixed to sacrum. Both ends of ureters were anastomosed side to side and to form a big nipple and inserted into the top of pouch for 2 to 3 centimeters. Results It took about sixty five minutes to create a new low pressure pouch after radical cystectomy. Early complication of was found in two cases postoperatively, and cured with temporary colonostomy. Hydronephrosis and hypokalemia in one patient were cured by percutaneous anterograde ureter dilatation with balloon and oral replacement of potassium salt. All patients displayed urinary continence. No symptomatic renal infection or hypercholoraemic acidosis occurred. Conclusion Modified ureterosigmoidostomy is a safe procedure of urinary diversion and provides a big volume, low intravesical pressure pouch. The patients are free from the troublesome urine-bag, intermittert catheterization , and upper urinary tracts are protected effectively. The quality of life is satisfied.

  5. Risk factors for low birth weight in Nigeria: evidence from the 2013 Nigeria Demographic and Health Survey

    Directory of Open Access Journals (Sweden)

    Maznah Dahlui

    2016-01-01

    Full Text Available Background: Low birth weight (LBW continues to be the primary cause of infant morbidity and mortality. Objective: This study was undertaken to identify the predictors of LBW in Nigeria. Design: The data for this study was extracted from the 2013 Nigeria Demographic and Health Survey conducted by the National Population Commission. Several questionnaires were used in the survey, some covering questions on pregnancy characteristics. The inclusion criteria include mothers who gave birth to a child 5 years before the interview and aged 15–49 years who were either permanent residents or visitors present in the household on the night before the survey conducted. The birth weight of the infants was recorded from written records from the hospital cards or the mothers’ recall. Results: The prevalence of LBW in this study was 7.3%. Multiple logistic regression analysis showed an adjusted significant odds ratio for mothers from North West region (aOR 10.67; 95% CI [5.83–19.5], twin pregnancy (aOR 5.11; 95% CI [3.11–8.39], primiparous mother (aOR 2.08; 95% CI [1.15–3.77], maternal weight of less than 70 kg (aOR 1.92; 95% CI [1.32–2.78], and manual paternal employment (aOR 1.91; 95% CI [1.08–3.37]. Conclusions: The risk factors for LBW identified in this study are modifiable. In order to reduce this menace in Nigeria, holistic approaches such as health education, maternal nutrition, improvement in socio-economic indices, and increasing the quality and quantity of the antenatal care services are of paramount importance.

  6. Meconium microbiome analysis identifies bacteria correlated with premature birth.

    Directory of Open Access Journals (Sweden)

    Alexandria N Ardissone

    Full Text Available Preterm birth is the second leading cause of death in children under the age of five years worldwide, but the etiology of many cases remains enigmatic. The dogma that the fetus resides in a sterile environment is being challenged by recent findings and the question has arisen whether microbes that colonize the fetus may be related to preterm birth. It has been posited that meconium reflects the in-utero microbial environment. In this study, correlations between fetal intestinal bacteria from meconium and gestational age were examined in order to suggest underlying mechanisms that may contribute to preterm birth.Meconium from 52 infants ranging in gestational age from 23 to 41 weeks was collected, the DNA extracted, and 16S rRNA analysis performed. Resulting taxa of microbes were correlated to clinical variables and also compared to previous studies of amniotic fluid and other human microbiome niches.Increased detection of bacterial 16S rRNA in meconium of infants of <33 weeks gestational age was observed. Approximately 61·1% of reads sequenced were classified to genera that have been reported in amniotic fluid. Gestational age had the largest influence on microbial community structure (R = 0·161; p = 0·029, while mode of delivery (C-section versus vaginal delivery had an effect as well (R = 0·100; p = 0·044. Enterobacter, Enterococcus, Lactobacillus, Photorhabdus, and Tannerella, were negatively correlated with gestational age and have been reported to incite inflammatory responses, suggesting a causative role in premature birth.This provides the first evidence to support the hypothesis that the fetal intestinal microbiome derived from swallowed amniotic fluid may be involved in the inflammatory response that leads to premature birth.

  7. Human sex ratio at birth in South West Nigeria

    Directory of Open Access Journals (Sweden)

    Azeez M

    2007-01-01

    Full Text Available Background: Human sex ratio at birth differs from one population to the other. This variation has been attributed to cultural practices, seasonal variation, small-family size policy and sex selective technology. Information on secondary sex ratio in Nigeria is limited. Aims and Objective: To analyzed human sex ratio at birth for samples of the Nigerian population in 4 urban settings in Southwest Nigeria, in order to know the trend and to compare the findings with those of previous reports. Materials and Methods: Data were collected from Obafemi Awolowo University (OAU teaching hospital at Ile Ife and Wesley Guild hospital at Ilesa, Osun state; General hospital at Ogbomoso, Oyo state and Ekiti state specialist hospital at Ado-Ekiti, Ekiti state. The data consisted of 35 209 live single births recorded between 1995 and 2004. Each set of data was analyzed to determine the sex ratio by year, month and quarterly values. Chi-square analysis was used to determine the deviation of the sex ratios for the years from the average value. Results: The annual average ratios of 104.7:100, 102.8:100, 98.9:100 and 100.8:100 were recorded for OAU teaching hospital, Wesley Guild Hospital, General Hospital and Ekiti State specialist hospital, respectively. When pooled together, the average ratio was 102.7:100. This shows some bias for male births. Data also indicates more male birth in the rainy season, suggesting a seasonal variation of sex ratio. Conclusion: These findings are representative of the populations in southwest Nigeria and are comparable to values obtained for other regions in Nigeria and other populations of African origin.

  8. A multinational case-control study on childhood brain tumours, anthropogenic factors, birth characteristics and prenatal exposures

    DEFF Research Database (Denmark)

    Vienneau, Danielle; Infanger, Denis; Feychting, Maria

    2016-01-01

    complemented with data from birth registries and validated by assessing agreement (Cohen's Kappa). We used conditional logistic regression models matched on age, sex and geographical region (adjusted for maternal age and parental education) to explore associations between birth factors and childhood brain...... during pregnancy was indicative of a protective effect (OR 0.75, 95%-CI: 0.56-1.01). No association was seen for maternal smoking during pregnancy or working during pregnancy. We found little evidence that the considered birth factors were related to brain tumour risk among children and adolescents.......Little is known about the aetiology of childhood brain tumours. We investigated anthropometric factors (birth weight, length, maternal age), birth characteristics (e.g. vacuum extraction, preterm delivery, birth order) and exposures during pregnancy (e.g. maternal: smoking, working, dietary...

  9. Risk factors for PTSD after birth in a normal population: A meta-analysis

    OpenAIRE

    Ayers, S; Bond, R.; Wijma, K

    2013-01-01

    Evidence suggests that a proportion of women report posttraumatic stress disorder (PTSD) after childbirth, with between 1 and 3% of women developing the disorder as a direct result of birth (Alcorn, O'Donovan, Patrick, Creedy, & Devilly). A range of factors are associated with postpartum PTSD, including prepartum, birth and postpartum factors. This meta-analysis synthesizes research on posttraumatic stress symptoms after childbirth in order to identify key vulnerability and risk factors. ...

  10. Mothers' Repartnering after a Nonmarital Birth

    Science.gov (United States)

    Bzostek, Sharon H.; McLanahan, Sara S.; Carlson, Marcia J.

    2012-01-01

    This article examines the prevalence, predictors and outcomes of unmarried mothers' repartnering patterns following a nonmarital birth. Results indicate that, within five years after a birth, approximately two-thirds of unmarried mothers end their relationship with the focal child's biological father, and more than half of these mothers enter new…

  11. Birth defects in children with newborn encephalopathy

    NARCIS (Netherlands)

    Felix, JF; Badawi, N; Kurinczuk, JJ; Bower, C; Keogh, JM; Pemberton, PJ

    2000-01-01

    This study was designed to investigate birth defects found in association with newborn encephalopathy. All possible birth defects were ascertained in a population-based study of 276 term infants with moderate or severe encephalopathy and 564 unmatched term control infants. A strong association betwe

  12. Barrier methods of birth control - slideshow

    Science.gov (United States)

    ... gov/ency/presentations/100107.htm Barrier methods of birth control - series—Female normal anatomy To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Birth Control A.D.A.M., Inc. is accredited by ...

  13. Student Volunteers as Birth Control Educators

    Science.gov (United States)

    Sanders, Raymond S.; And Others

    1978-01-01

    A one-year project on birth control education that used students as birth control educators was initiated to increase student awareness of the need for contraception. Support for this method of disseminating information was demonstrated. The project facilitated student use of the Gynecological Clinic of the Student Health Center. (Author)

  14. Catholics vs. Protestants - Birth and Tax

    DEFF Research Database (Denmark)

    Gøtze, Michael

    2008-01-01

    Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July......Danish Supreme Court Decision, Protestant State Church, Religious Minority, Birth Registration, Family Law, Taxation System, Discrimination, European Human Rights Law, Constitutional Law, Law and Religion Udgivelsesdato: 28. July...

  15. Does fish oil prevent preterm birth?

    DEFF Research Database (Denmark)

    Secher, Niels Jørgen

    2007-01-01

    A literature review was performed on the effect of fish oil on preterm birth in observational and randomized studies. The only weak effect on preterm birth found in meta-analyses could be caused by the low compliance, and the fact that many women stop supplementation before term together...... with a fast acting effect on fish oil....

  16. What Is Preterm Labor and Birth?

    Science.gov (United States)

    ... 70% of preterm infants are born during the late-preterm time frame. 3 Preterm birth is the most common cause of infant death ... NICHD News and Spotlights Common tests for preterm birth not useful for ... in treating mildly low thyroid function in pregnancy, NIH Network study finds ...

  17. Birth weight and childhood blood pressure.

    Science.gov (United States)

    Edvardsson, Vidar O; Steinthorsdottir, Sandra D; Eliasdottir, Sigridur B; Indridason, Olafur S; Palsson, Runolfur

    2012-12-01

    A large body of literature suggests an inverse relationship between birth weight and blood pressure in children, adolescents and adults. The most persistent findings have been observed in children with a history of low birth weight or intrauterine growth restriction, while a large number of studies carried out in populations with normally distributed birth weight have shown conflicting results. A recently reported strong direct association between high birth weight and blood pressure, and the significant positive effect of postnatal growth on blood pressure suggests that the fetal origins of adult disease hypothesis should be expanded to include the role of excessive fetal and postnatal growth. In this paper, we review recent studies on the relationship between birth weight and blood pressure in childhood, with a focus on confounding variables that may explain the conflicting results of published work in this field.

  18. The Relationship between Barriers to Birth Control Use and Actual Birth Control Use among Mexican-American Adolescents.

    Science.gov (United States)

    Pesa, Jacqueline A.; Mathews, Jeff

    2000-01-01

    Examines the relationship between barriers to using birth control and actual use of birth control among Mexican American adolescents (N=26,666). Results show that nonusers had significantly higher barrier scores compared with users of birth control. These results indicate that attitudes toward birth control are associated with actual birth control…

  19. High birth weight and perinatal mortality among siblings: A register based study in Norway, 1967-2011

    Science.gov (United States)

    Keyes, Katherine M.; Susser, Ezra; Corbett, Karina; Irgens, Lorentz M.

    2017-01-01

    Background Perinatal mortality according to birth weight has an inverse J-pattern. Our aim was to estimate the influence of familial factors on this pattern, applying a cohort sibling design. We focused on excess mortality among macrosomic infants (>2 SD above the mean) and hypothesized that the birth weight-mortality association could be explained by confounding shared family factors. We also estimated how the participant’s deviation from mean sibling birth weight influenced the association. Methods and findings We included 1 925 929 singletons, born term or post-term to mothers with more than one delivery 1967–2011 registered in the Medical Birth Registry of Norway. We examined z-score birth weight and perinatal mortality in random-effects and sibling fixed-effects logistic regression models including measured confounders (e.g. maternal diabetes) as well as unmeasured shared family confounders (through fixed effects models). Birth weight-specific mortality showed an inverse J-pattern, being lowest (2.0 per 1000) at reference weight (z-score +1 to +2) and increasing for higher weights. Mortality in the highest weight category was 15-fold higher than reference. This pattern changed little in multivariable models. Deviance from mean sibling birth weight modified the mortality pattern across the birth weight spectrum: small and medium-sized infants had increased mortality when being smaller than their siblings, and large-sized infants had an increased risk when outweighing their siblings. Maternal diabetes and birth weight acted in a synergistic fashion with mortality among macrosomic infants in diabetic pregnancies in excess of what would be expected for additive effects. Conclusions The inverse J-pattern between birth weight and mortality is not explained by measured confounders or unmeasured shared family factors. Infants are at particularly high mortality risk when their birth weight deviates substantially from their siblings. Sensitivity analysis suggests

  20. Modified blank ammunition injuries.

    Science.gov (United States)

    Ogunc, Gokhan I; Ozer, M Tahir; Coskun, Kagan; Uzar, Ali Ihsan

    2009-12-15

    Blank firing weapons are designed only for discharging blank ammunition cartridges. Because they are cost-effective, are easily accessible and can be modified to live firearms plus their unclear legal situation in Turkish Law makes them very popular in Turkey. 2004 through 2008, a total of 1115 modified blank weapons were seized in Turkey. Blank firing weapons are easily modified by owners, making them suitable for discharging live firearm ammunition or modified blank ammunitions. Two common methods are used for modification of blank weapons. After the modification, these weapons can discharge the live ammunition. However, due to compositional durability problems with these types of weapons; the main trend is to use the modified blank ammunitions rather than live firearm ammunition fired from modified blank firing weapons. In this study, two types of modified blank weapons and two types of modified blank cartridges were tested on three different target models. Each of the models' shooting side was coated with 1.3+/-2 mm thickness chrome tanned cowhide as a skin simulant. The first model was only coated with skin simulant. The second model was coated with skin simulant and 100% cotton police shirt. The third model was coated with skin simulant and jean denim. After the literature evaluation four high risky anatomic locations (the neck area; the eyes; the thorax area and inguinal area) were pointed out for the steel and lead projectiles are discharged from the modified blank weapons especially in close range (0-50 cm). The target models were designed for these anatomic locations. For the target models six Transparent Ballistic Candle blocks (TCB) were prepared and divided into two test groups. The first group tests were performed with lead projectiles and second group with steel projectile. The shortest penetration depth (lead projectile: 4.358 cm; steel projectile 8.032 cm) was recorded in the skin simulant and jean denim coated block for both groups. In both groups

  1. Systematic review and meta-analysis of preterm birth and later systolic blood pressure.

    Science.gov (United States)

    de Jong, Femke; Monuteaux, Michael C; van Elburg, Ruurd M; Gillman, Matthew W; Belfort, Mandy B

    2012-02-01

    Lower birth weight because of fetal growth restriction is associated with higher blood pressure later in life, but the extent to which preterm birth (blood pressure is less clear. We performed a systematic review of 27 observational studies that compared the resting or ambulatory systolic blood pressure or diagnosis of hypertension among children, adolescents, and adults born preterm or very low birth weight with those born at term. We performed a meta-analysis with the subset of 10 studies that reported the resting systolic blood pressure difference in millimeters of mercury with 95% CIs or SEs. We assessed methodologic quality with a modified Newcastle-Ottawa Scale. The 10 studies were composed of 1342 preterm or very low birth weight and 1738 term participants from 8 countries. The mean gestational age at birth of the preterm participants was 30.2 weeks (range: 28.8-34.1 weeks), birth weight was 1280 g (range: 1098-1958 g), and age at systolic blood pressure measurement was 17.8 years (range: 6.3-22.4 years). Former preterm or very low birth weight infants had higher systolic blood pressure than term infants (pooled estimate: 2.5 mm Hg [95% CI: 1.7-3.3 mm Hg]). For the 5 highest quality studies, the systolic blood pressure difference was slightly greater, at 3.8 mm Hg (95% CI: 2.6-5.0 mm Hg). We conclude that infants who are born preterm or very low birth weight have modestly higher systolic blood pressure later in life and may be at increased risk for developing hypertension and its sequelae.

  2. [Japan-U.S. comparison of the effectiveness of fertility control--the analysis of the incidence of unplanned births (author's transl)].

    Science.gov (United States)

    Nohara Atoh, M

    1982-01-01

    Our major concern in this paper is how Japan could maintain 1 of the lowest levels of fertility in the industrialized world in the 1960s despite the fact that in Japan the proportion of those using contraception is smaller, the main contraceptive method is less efficient, and contraception is initiated at a later stage of reproductive life than in the Western countries. Drawing on the Japanese version of the World Fertility Survey in 1974 and the 1970 National Fertility Study from the US, we compared the effectiveness of fertility control in Japan and the US by focusing on the incidence of unplanned and unwanted births and attempted to clarify the reason for the difference in that incidence by breaking it down into several fertility control factors. The findings were as follows. 1) There is a smaller proportion who opt to delay childbearing in the early reproductive stage in Japan than in the US, and the probability of having a birth as a timing failure is somewhat higher in Japan than in the US. This is due to the fact that contraceptive efficacy for those who delay is lower than that of Americans. In the early reproductive years or when the purpose is for spacing births, induced abortion is used mainly by noncontraceptors. It is rare to find cases of induced abortion backing contraceptive failures at such an early stage. 2) At the later stages of childbearing, a larger proportion of women choose to terminate childbearing in Japan than in the US. The probability of having unwanted high order births is much lower in Japan than in the US. This is partly because contraceptive efficacy is somewhat higher in Japan and partly because induced abortion is used by noncontraceptive terminators. It is mainly because of the use of abortion as backup by contraceptors who choose to terminate unwanted pregnancies. 3) In Japan, those who do not use contraception as a means for avoiding unplanned births rely on induced abortion more or less equally at different stages of their

  3. Swaziland's Traditional Birth Attendants Survey.

    Science.gov (United States)

    Lech, M M; Mngadi, T P

    2005-12-01

    The Traditional Birth Attendants (TBAs) Survey in Swaziland was undertaken between March 27th 1996 and April 8th 1996. The objective of the survey was to generate reliable information regarding activities of TBAs in Swaziland. The survey was conducted in 25 Chiefdoms sampled out of a total of 206 Chiefdoms registered in Swaziland. The total number of sampled respondents in the 25 Chiefdoms was 721. From the survey, it is estimated that there were probably 3000 TBAs in the country, and in the majority of cases such TBAs would be a 51-year old woman who herself had delivered six children and had worked as a TBA for at least 10 years. Between 9,000 and 12,000 deliveries are estimated to take place out of health facilities. Of these many, nearly 43.5% are assisted by "TBAs"; 16.3% of woman interviewed deliver relative/family member and 15.1% are assisted by friends/neighbours, etc. Some of TBAs carry out procedures which are considered to be potentially harmful. Nearly 30% of TBAs have administered herbs; 45% attend to abnormal deliveries (breech and multiple pregnancies); 26.7% re-use their cord cutting tools and in the case of haemorrhage 23.4% do manual procedures within reproductive tract of delivering women.

  4. Birth delivery trauma and malocclusion.

    Science.gov (United States)

    Cattaneo, Ruggero; Monaco, Annalisa; Streni, Oriana; Serafino, Vittorio; Giannoni, Mario

    2005-01-01

    The aim of the investigation was to determine the dynamic of birth delivery and relate to dental occlusion among a group of adult subjects. The group studied was made up of 106 subjects (57 females and 49 males) referred for dental diagnosis and treatment. The average age was 26 with a range 22 to 30 years. In data collection and analysis the following were used as measures: dental occlusion (Angle Class I, II div 1, II div 2 and III) and type of delivery (normal, short, long, caesarean and other). Results showed that among 106 subjects 72 (68%) had malocclusion versus 34 (32%) with normal occlusion; 24 subjects (22.6%) have been normal delivery versus 82 (77.4%) with non-normal delivery. Class I is present in 34 subjects (32%), class II division 1 in 26 (24%), class II division 2 in 22. (20%), class III in 16 (14%), and 8 subjects (6%) fall in the section "other". Among 24 subjects with normal delivery 100% presented class I occlusion. However, among 82 subjects with non-normal delivery 10 subjects had a class I (12.2%) and the 72 (87.8%) had in the other classes, are distributed in the various subgroups of non-normal labor/delivery. None of the subjects with a malocclusion have a normal labor/delivery. Better understanding of the connections among osteopathic theory, craniosacral treatment and the outcomes upon dental occlusion, more rigorous evaluations are warranted.

  5. Prediction of preterm birth in twins.

    Science.gov (United States)

    Makrydimas, George; Sotiriadis, Alexandros

    2014-02-01

    About 13% of twins are born before 34 weeks and 7% before 32 weeks. The prediction of preterm birth in twins is based on the same tests as in singleton pregnancies. In twin pregnancies, the cut-off for short cervix at the second trimester scan is less than 25 mm (compared with 15 mm in singletons); length less than 20 mm is associated with 42% risk for birth before 32 weeks and cervical length less than 25 mm is associated with 28% risk for birth before 28 weeks. The measurement of cervical length in pregnancies with symptoms of preterm labour may have limited accuracy in predicting preterm birth. In asymptomatic women, a positive fetal fibronectin test seems to be associated with 35% risk for birth before 32 weeks and 40% risk for birth less than 34 weeks, whereas a negative test decreases the risk to 6% and 17%, respectively. The differences in the predictive value of tests between twins and singletons reflect the diverse pathophysiology of preterm birth between the two groups.

  6. Anthropometric measurements for detecting low birth weight

    Directory of Open Access Journals (Sweden)

    Kusharisupeni

    2013-05-01

    Full Text Available Background In several provinces of Eastern Indonesia, the majority of births take place at home (60% and are assisted by traditional birth attendants. Most of these newborns do not have their birth weight recorded, due to lack of available weighing scales or lack of skill to perform the measurement, especially in rural areas. As such, an early identification of low birth weight cases is needed to prevent infant morbidity and mortality. Objective To assess anthropometric measurements including calf, chest, and head circumferences as a method of choice for detecting low birth weight, as substitute for actual weighing. Methods This cross-sectional study was performed at Banjar Baru, South Kalimantan, Indonesia, from January to March 2012. Subjects were full term, singleton, and live-born infants during the study period, and obtained from private clinics by a purposive sampling procedure. Calf, chest, and head circumferences were measured to identify the most suitable substitute for birth weight using Pearson’s correlation, ROC, sensitivity, and specificity. Results In this study, a correlation was shown between birth weight and all anthropometric measurements. Optimal calf, chest, and head circumference cutoff points to identify low birth weight infants were 10.3 cm, 30.7 cm, and 31.2 cm, respectively. The area under the curves (AUC showed good accuracy for all measurement types. Calf circumference had the closest estimated true prevalence to the true prevalence (8� .52% and 8.6%, respec-.52% respec- 52% respec-%8.6%, respec-.6%, 6%, respec-%, respectively compared to the other measurement types. Conclusion Calf circumference is the most suitable measurement as a substitute for birth weight, due to its estimated true prevalence. [Paediatr Indones. 2013;53:177-80.].

  7. Anthropometric measurements for detecting low birth weight

    Directory of Open Access Journals (Sweden)

    Kusharisupeni

    2013-01-01

    Full Text Available Background In several provinces of Eastern Indonesia, the majority of births take place at home (60% and are assisted by traditional birth attendants. Most of these newborns do not have their birth weight recorded, due to lack of available weighing scales or lack of skill to perform the measurement, especially in rural areas. As such, an early identification of low birth weight cases is needed to prevent infant morbidity and mortality.Objective To assess anthropometric measurements including calf, chest, and head circumferences as a method of choice for detecting low birth weight, as substitute for actual weighing.Methods This cross-sectional study was performed at Banjar Baru, South Kalimantan, Indonesia, from January to March 2012. Subjects were full term, singleton, and live-born infants during the study period, and obtained from private clinics by a purposive sampling procedure. Calf, chest, and head circumferences were measured to identify the most suitable substitute for birth weight using Pearson’s correlation, ROC, sensitivity, and specificity.Results In this study, a correlation was shown between birth weight and all anthropometric measurements. Optimal calf, chest, and head circumference cutoff points to identify low birth weight infants were 10.3 cm, 30.7 cm, and 31.2 cm, respectively. The area under the curves (AUC showed good accuracy for all measurement types. Calf circumference had the closest estimated true prevalence to the true prevalence (8� .52% and 8.6%, respec-.52% respec- 52% respec-%8.6%, respec-.6%, 6%, respec-%, respectively compared to the other measurement types.Conclusion Calf circumference is the most suitable measurement as a substitute for birth weight, due to its estimated true prevalence.

  8. Brazilian multicenter study on prevalence of preterm birth and associated factors

    Directory of Open Access Journals (Sweden)

    Guinsburg Ruth

    2010-05-01

    Full Text Available Abstract Background The occurrence of preterm birth remains a complex public health condition. It is considered the main cause of neonatal morbidity and mortality, resulting in a high likelihood of sequelae in surviving children. With variable incidence in several countries, it has grown markedly in the last decades. In Brazil, however, there are still difficulties to estimate its real occurrence. Therefore, it is essential to establish the prevalence and causes of this condition in order to propose prevention actions. This study intend to collect information from hospitals nationwide on the prevalence of preterm births, their associated socioeconomic and environmental factors, diagnostic and treatment methods resulting from causes such as spontaneous preterm labor, prelabor rupture of membranes, and therapeutic preterm birth, as well as neonatal results. Methods/Design This proposal is a multicenter cross-sectional study plus a nested case-control study, to be implemented in 27 reference obstetric centers in several regions of Brazil (North: 1; Northeast: 10; Central-west: 1; Southeast: 13; South: 2. For the cross sectional component, the participating centers should perform, during a period of six months, a prospective surveillance of all patients hospitalized to give birth, in order to identify preterm birth cases and their main causes. In the first three months of the study, an analysis of the factors associated with preterm birth will also be carried out, comparing women who have preterm birth with those who deliver at term. For the prevalence study, 37,000 births will be evaluated (at term and preterm, corresponding to approximately half the deliveries of all participating centers in 12 months. For the case-control study component, the estimated sample size is 1,055 women in each group (cases and controls. The total number of preterm births estimated to be followed in both components of the study is around 3,600. Data will be collected

  9. The Danish National Quality Database for Births

    DEFF Research Database (Denmark)

    Andersson, Charlotte Brix; Flems, Christina; Kesmodel, Ulrik Schiøler

    2016-01-01

    AIM OF THE DATABASE: The aim of the Danish National Quality Database for Births (DNQDB) is to measure the quality of the care provided during birth through specific indicators. STUDY POPULATION: The database includes all hospital births in Denmark. MAIN VARIABLES: Anesthesia/pain relief, continuous...... support for women in the delivery room, lacerations (third and fourth degree), cesarean section, postpartum hemorrhage, establishment of skin-to-skin contact between the mother and the newborn infant, severe fetal hypoxia (proportion of live-born children with neonatal hypoxia), delivery of a healthy...

  10. Socio-economic inequality in preterm birth

    DEFF Research Database (Denmark)

    Petersen, Christina Bjørk; Mortensen, Laust Hvas; Morgen, Camilla Schmidt;

    2009-01-01

    by maternal educational attainment and analysed in 5-year intervals from 1981 to 2000. Compared with mothers with >12 years of education, mothers with years of education had similarly increased risks of very, and to a lesser extent moderately, preterm birth in all four countries. The educational gradient...... increased slightly over time in very preterm births in Denmark, while there was a slight narrowing of the gap in Sweden. In moderately preterm births, the educational inequality gap was constant over the study period in Denmark, Norway and Sweden, but narrowed in Finland. The educational gradient in preterm...

  11. Pudendal nerve block for vaginal birth.

    Science.gov (United States)

    Anderson, Deborah

    2014-01-01

    Pudendal nerve block is a safe and effective pain relief method for vaginal birth. Providing analgesia to the vulva and anus, it is used for operative vaginal birth and subsequent repair, late second stage pain relief with spontaneous vaginal birth, repair of complex lacerations, or repair of lacerations in women who are unable to achieve adequate or satisfactory pain relief during perineal repair with local anesthesia. Key to its efficacy is the knowledge of pudendal nerve anatomy, the optimal point of infiltration of local anesthetic, and an understanding of the amount of time necessary to effect adequate analgesia.

  12. Women's perceptions of caesarean birth: a Roy international study.

    Science.gov (United States)

    Fawcett, Jacqueline; Aber, Cynthia; Haussler, Susan; Weiss, Marianne; Myers, Sheila Taylor; Hall, Jaye L; Waters, V Lynn; King, Charlette; Tarkka, Marja-Terttu; Rantanen, Anja; Astedt-Kurki, Paivi; Newton, Jennifer; Silva, Virginia

    2011-10-01

    The purpose of this Roy adaptation model-based multi-site international mixed method study was to examine the relations of type of caesarean birth (unplanned/planned), number of caesarean births (primary/repeat), and preparation for caesarean birth to women's perceptions of and responses to caesarean birth. The sample included 488 women from the United States (n = 253), Finland (n = 213), and Australia (n = 22). Path analysis revealed direct effects for type of and preparation for caesarean birth on responses to caesarean birth, and an indirect effect for preparation on responses to caesarean birth through perception of birth the experience.

  13. The relation of polychlorinated biphenyls to birth weight and gestational age in the offspring of occupationally exposed mothers

    Energy Technology Data Exchange (ETDEWEB)

    Taylor, P.R.; Stelma, J.M.; Lawrence, C.E. (National Cancer Institute, Bethesda, MD (USA))

    1989-02-01

    The authors studied the relation of polychlorinated biphenyls (PCBs) to birth weight and gestational age among the live offspring of women occupationally exposed to PCBs during the manufacture of capacitors in Upstate New York. Interviews were conducted in 1982 with 200 women who had held jobs with direct exposure and 205 women who had never held a direct-exposure job in order to ascertain information on reproductive history and other factors influencing reproductive outcome. Exposure was assessed as high-homolog PCB (Aroclor 1254), a continuous exposure variable estimated from an independently derived prediction model. After adjustment for variables other than gestational age known to influence birth weight, a significant effect of high-homolog exposure is seen for birth weight. For gestational age, a small but significant decrease is also observed with an increase in estimated exposure. When gestational age is accounted for in addition to other variables related to birth weight, estimated serum PCB is no longer a significant predictor of birth weight. The authors conclude that these data indicate that there is a significant relation between increased estimated serum PCB level and decreased birth weight and gestational age, and that the decrease in birth weight is at least partially related to shortened gestational age. The magnitude of these effects was quite small compared with those of other known determinants of gestational age and birth weight, and the biologic importance of these effects is likely to be negligible except among already low birth weight or short gestation infants.

  14. Birth characteristics and Wilms tumors in children in the Nordic countries

    DEFF Research Database (Denmark)

    Schüz, Joachim; Schmidt, Lisbeth Samsø; Kogner, Per

    2011-01-01

    -for-gestational age girls also had a higher risk (2.48, 1.51-4.05), whereas no effect was seen for boys (1.12, 0.60-2.07). An association was seen with Apgar score at 5 min parental age and birth order. In our large-scale, registry......Little is known about causes of Wilms tumor. Because of the young age at diagnosis, several studies have looked at various birth characteristics. We conducted a registry-based case-control study involving 690 cases of Wilms tumor aged 0-14 years, occurring in Denmark, Finland, Norway or Sweden...... during 1985-2006, individually matched to five controls drawn randomly from the Nordic childhood population. Information on birth characteristics was obtained from the population-based medical birth registries. We estimated odds ratios (ORs) and 95% confidence intervals (CIs) using conditional logistic...

  15. Links between environmental geochemistry and rate of birth defects: Shanxi Province, China

    Energy Technology Data Exchange (ETDEWEB)

    Yu Haiying [State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Geography, Beijing Normal University, Beijing 100875 (China); College of Resources and Environmental Sciences, Sichuan Agricultural University, Ya' an, Sichuan 625014 (China); Zhang Keli, E-mail: keli@bnu.edu.cn [State Key Laboratory of Earth Surface Processes and Resource Ecology, School of Geography, Beijing Normal University, Beijing 100875 (China)

    2011-01-01

    The rate of birth defects in Shanxi Province is among the highest worldwide. In order to identify the impacts of geochemical and environmental factors on birth defect risk, samples of soil, water and food were collected from an area with an unusually high rate of birth defects (study area) and an area with a low rate of birth defects (control area) in Shanxi Province, China. Element contents were determined by ICP-OES, and the results were analyzed using a non-parametric test and stepwise regression. Differences in the level and distribution of 14 geochemical elements, namely arsenic (As), selenium (Se), molybdenum (Mo), zinc (Zn), strontium (Sr), iron (Fe), tin (Sn), magnesium (Mg), vanadium (V), calcium (Ca), copper (Cu), aluminum (Al), potassium (K) and sulfur (S) were thus compared between the study and control areas. The results reveal that the geochemical element contents in soil, water and food show a significant difference between the study area and control area, and suggest that the study area was characterized by higher S and lower Sr and Al contents. These findings, based on statistical analysis, may be useful in directing further epidemiological investigations identifying the leading causes of birth defects. - Research Highlights: {yields} Environmental geochemistry has an significant impact on birth defects in the regions with an unusually high rate of birth defects. {yields} An excess of S and deficiency of Sr and Al are the distinctive environmental features associated with the high rate of birth defects in the Shanxi Province of China. {yields} Geochemical anomalies is a non-medical basis for effective prevention and cure of birth defects.

  16. The Birth Environment of the Solar System

    CERN Document Server

    Adams, Fred C

    2010-01-01

    This paper reviews our current understanding of the possible birth environments of our Solar System. Since most stars form within groups and clusters, the question becomes one of determining the nature of the birth aggregate of the Sun. This discussion starts by reviewing Solar System properties that provide constraints on our environmental history. We then outline the range of star-forming environments that are available in the Galaxy, and discuss how they affect star and planet formation. The nature of the solar birth cluster is constrained by many physical considerations, including radiation fields provided by the background environment, dynamical scattering interactions, and by the necessity of producing the short-lived radioactive nuclear species inferred from meteoritic measurements. Working scenarios for the solar birth aggregate can be constructed, as discussed herein, although significant uncertainties remain.

  17. CDC Vital Signs: Preventing Repeat Teen Births

    Science.gov (United States)

    ... text version SOURCE: Adapted from Trussell J in Contraceptive Technology, 2011, and FDA Office of Women’s Health ... about how to avoid repeat births with both male and female teens. http://www.cdc.gov/teenpregnancy/ ...

  18. IOC Rescinds Ban on Birth Control Drug.

    Science.gov (United States)

    Duda, Marty

    1988-01-01

    A review of the International Olympic Committee's ban and subsequent reinstatement of a certain drug found in birth-control pills points out the need for careful analysis of drugs and their effects before they are banned. (CB)

  19. Live birth in an archosauromorph reptile

    Science.gov (United States)

    Liu, Jun; Organ, Chris L.; Benton, Michael J.; Brandley, Matthew C.; Aitchison, Jonathan C.

    2017-01-01

    Live birth has evolved many times independently in vertebrates, such as mammals and diverse groups of lizards and snakes. However, live birth is unknown in the major clade Archosauromorpha, a group that first evolved some 260 million years ago and is represented today by birds and crocodilians. Here we report the discovery of a pregnant long-necked marine reptile (Dinocephalosaurus) from the Middle Triassic (∼245 million years ago) of southwest China showing live birth in archosauromorphs. Our discovery pushes back evidence of reproductive biology in the clade by roughly 50 million years, and shows that there is no fundamental reason that archosauromorphs could not achieve live birth. Our phylogenetic models indicate that Dinocephalosaurus determined the sex of their offspring by sex chromosomes rather than by environmental temperature like crocodilians. Our results provide crucial evidence for genotypic sex determination facilitating land-water transitions in amniotes. PMID:28195584

  20. Doula birth support for incarcerated pregnant women.

    Science.gov (United States)

    Schroeder, Carole; Bell, Janice

    2005-01-01

    The objective of this study was to provide trained labor support (doulas) to pregnant women in jail. A multiagency intervention project provided doula birth services to pregnant women in urban jails. Program evaluation included interviews with women and written satisfaction surveys of providers and correctional officers. A convenience sample of 18 incarcerated women received doula services. A doula visited each woman in jail antepartum to review expectations for labor and birth; during hospitalization, the doula provided continuous support throughout labor and birth. Doulas visited women postpartum to review birth events. Surveys administered to providers and officers demonstrated high satisfaction with the program. Qualitative interviews with 14 women indicated unanimous support for the services and documented women's major concerns. Findings support offering doula services to all pregnant women in custody and expanding doula services to include early and comprehensive intervention coordinated by nurses.

  1. Certain Bacteria May Affect Preterm Birth Risk

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_163401.html Certain Bacteria May Affect Preterm Birth Risk Bad 'bugs' tied ... Feb. 3, 2017 (HealthDay News) -- Certain types of bacteria in a pregnant woman's cervix and vagina can ...

  2. Impact of Adoption on Birth Parents

    Science.gov (United States)

    ... best interests ahead of their own when they make the decision to place the child for adoption (Child Welfare Information Gateway, 2007). Other reasons birth parents place their children for adoption include societal and ...

  3. Birth Weight, Gestational Age, and Infantile Colic

    DEFF Research Database (Denmark)

    Milidou, Ioanna; Søndregaard, Charlotte; Jensen, Morten Søndergaard;

    Background Infantile colic is a condition of unknown origin characterized by paroxysms of crying during the first months of life. A few studies have identified low birth weight (BW) as a risk factor among infants born at term, while the association between gestational age (GA) and infantile colic......, low BW was associated with infantile colic only in infants born at term (gestational weeks 37-41), but not in pre- or post-term infants. Conclusion The results indicate that low birth weight and preterm birth are independently associated with infantile colic. After adjusting for gestational age, low...... birth weight increased the risk of infantile colic in children born at term (gestational weeks 37-41)....

  4. Commission for the Accreditation of Birth Centers

    Science.gov (United States)

    ... center staff and your chosen family and friends Music therapy Massage or therapeutic touch Sterile water papules ... CABC accredited birth center does not use certain interventions, such as vacuum assisted delivery, medication to speed ...

  5. SOCIODEMOGRAPHIC DOAMINS OF DEPRIVATION AND PRETERM BIRTH

    Science.gov (United States)

    Background. Neighborhood-level deprivation has long been associated with adverse outcomes, including preterm birth (PTB), as observed in the authors' previous work using a composite deprivation index. Area disadvantage is multifaceted comprising income, employment, education and...

  6. European birth cohorts for environmental health research

    DEFF Research Database (Denmark)

    Vrijheid, Martine; Casas, Maribel; Bergström, Anna;

    2012-01-01

    Many pregnancy and birth cohort studies investigate the health effects of early-life environmental contaminant exposure. An overview of existing studies and their data is needed to improve collaboration, harmonization, and future project planning....

  7. Birth and Evolution of Isolated Radio Pulsars

    CERN Document Server

    Faucher-Giguere, C A

    2005-01-01

    We investigate the birth and evolution of Galactic isolated radio pulsars. We begin by estimating their birth space velocity distribution from proper motion measurements of Brisken et al. (2002, 2003). We find no evidence for multimodality of the distribution and favor one in which the absolute one-dimensional velocity components are exponentially distributed and with a three-dimensional mean velocity of 380^{+40}_{-60} km s^-1. We then proceed with a Monte Carlo-based population synthesis, modelling the birth properties of the pulsars, their time evolution, and their detection in the Parkes and Swinburne Multibeam surveys. We present a population model that appears generally consistent with the observations. Our results suggest that pulsars are born in the spiral arms, with a Galactocentric radial distribution that is well described by the functional form proposed by Yusifov & Kucuk (2004), in which the pulsar surface density peaks at radius ~3 kpc. The birth spin period distribution extends to several h...

  8. Birth defects monitoring in underdeveloped countries: an example from Uruguay.

    Science.gov (United States)

    Castilla, E E; Lopez-Camelo, J S; Dutra, G P; Paz, J E

    1991-01-01

    Medical authorities in developing countries are primarily interested in nutritional and infectious diseases. Therefore, activities directed to the prevention and control of low priority illnesses, such as birth defects, need to be particularly effective, simple, and economical. Monitoring of congenital anomalies is one of the preventive activities which can be efficiently performed at very low cost. Guidelines for this are given, and their application exemplified by the case of Uruguay. Uruguay has recently attained an infant mortality rate of 20/1,000, with the congenital anomalies ranking as its second cause. The government of Uruguay, through the Pan American Health Organisation/World Health Organisation (PARO/WHO) called the Estudio Colaborativo Latino Americano de Malformaciones Congenitas (ECLAMC) for advice in order to plan a program for the prevention of birth defects. The recommendations given were based on conclusions drawn from the analysis of data the ECLAMC program has been accumulating, from Uruguay and other Latin-American countries, since 1967. The case of Uruguay clearly indicates that sensible guidelines for birth defects prevention can be provided, after working with this "low priority and uninteresting" group of illnesses for more than twenty years.

  9. Birth-death processes on trees

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    In this paper, we consider birth-death processes on a tree T and we are interested when it is regular, recurrent and ergodic (strongly, exponentially). By constructing two corresponding birth death processes on Z+, we obtain computable conditions sufficient or necessary for that (in many cases, these two conditions coincide). With the help of these constructions, we give explicit upper and lower bounds for the Dirichlet eigenvalue λ0. At last, some examples are investigated to justify our results.

  10. Association between Greenness, Urbanicity, and Birth Weight

    Science.gov (United States)

    Ebisu, Keita; Holford, Theodore R.; Bell, Michelle L.

    2015-01-01

    Background More than half of the world's population lives in urban environments. Due to urban related factors (e.g. higher air pollution), urban residents may face higher risk of adverse health outcomes, while access to green space could benefit health. Purpose We explored associations between urban and green land-use and birth weight. Methods Connecticut, U.S., birth certificate data (2000-2006) were acquired (n=239,811), and land-use data were obtained from the National Land Cover Database. We focused on three land-uses; urban space, urban open space, and green space (i.e. forest, shrub, herbaceous, and cultivated land). We estimated fractions of greenness and urbanicity within 250 m from residence. A linear mixed effects model was conducted for birth weight and a logistic mixed effects model for low birth weight (LBW) and small for gestational age (SGA). Results An interquartile range (IQR) increment in the fraction of green space within 250 m of residence was associated with 3.2g (95% Confidence Interval [0.4, 6.0]) higher birth weight. Similarly, an IQR increase in green space was associated with 7.6% [2.6, 12.4] decreased risk of LBW. Exposure to urban space was negatively correlated with green space (Pearson correlation = −0.88), and it showed negative association with birth outcomes. Results were generally robust with different buffer sizes and controlling for fine particles (PM2.5) and traffic. Conclusions We found protective associations by green space on birth outcomes. Increasing green space and/or reducing urban space (e.g. the greening of city environments) may reduce the risk of adverse birth outcomes such as LBW and SGA. Populations living in urban environments will grow in the next half century, and allocation of green space among urban areas may play a critical role for public health in urban planning. PMID:26546769

  11. Birth Control and Family Planning in China

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    THIS year, Women of China asked two 30-year-old women from the Yimeng mountain area in Shandong Province about their chosen methods of birth control. Both women reported using intrauterine devices (IUDs), which they had placed by local gynecologists at the hospital 40 days after giving birth. Are these women aware of other contraceptive methods? Some rural women tell us they know of other methods such as oral contraception, contraceptive implants and tubal ligation.

  12. Kids having kids: the teen birth rate.

    Science.gov (United States)

    Noonan, S S

    1997-08-01

    This article focuses on adolescent pregnancy and birth issues in the US. Although the birth rate among adolescents aged 10-19 years in New Jersey declined to 9609 infants per year in 1994, a decline of 7% from 1990, there remain concerns about the welfare of the mother and fetal development. Adolescent birth rates in New Jersey are higher for Black youths compared to White youths (100/1000 births vs. 25.4/1000). During 1990-94, births to girls aged 10-14 years increased from 241 to 284. There are many reasons for teenage pregnancy: abuse or coercion, peer pressure, misinformation, defiant behavior, person whims, and need for success through pregnancy. Pregnant teens frequently do not receive adequate prenatal care, maintain good nutrition, and/or refrain from unhealthy habits such as cigarette smoking, alcohol drinking, and/or drug use. The lack of prenatal care until late pregnancy may be due to lack of health insurance coverage or money for transportation. Teenagers have higher rates of premature births. Fetal development may be impaired due to lack of a proper maternal diet with a sufficient amount of folic acid, iron and protein, or food intake. Teenagers have twice the rate of spina bifida. Girls need to know the facts about the risk of premature birth and low birth weight associated with their cigarette smoking during pregnancy. Girls should be asked to reduce smoking to 3-5 cigarettes per week by the next visit and to stop entirely by the following visit. Teenagers need reinforcement in adopting the right eating patterns and curbing undesirable habits. Prenatal care should be comprehensive. The evidence suggests that fetal development is hampered by the competition for resources between the mother and fetus. Health care professionals must provide contraceptives and education; most hope that the repetitive cycle of repeat pregnancy and poverty does not continue.

  13. [Parenthood and the birth of the family].

    Science.gov (United States)

    Andro, Gwenaëlle; Baleyte, Jean-Marc

    2014-01-01

    A project to start a family can be knocked off course by a couple's infertility. While medical intervention frequently leads to the birth of a baby, it is not always enough to ensure that the child is "born" psychologically. This article presents a clinical situation which highlights issues surrounding unattainable parenthood then the birth of the family, the impossible weaning from the mother's body and family transmission.

  14. Size at birth and preterm birth in women with lifetime eating disorders

    DEFF Research Database (Denmark)

    Micali, N; Larsen, Pernille Stemann; Strandberg-Larsen, K;

    2016-01-01

    OBJECTIVE: To investigate whether eating disorders are associated with lower size at birth, symmetric growth restriction, and preterm birth; and whether pregnancy smoking explains the association between anorexia nervosa and fetal growth. DESIGN: Longitudinal population-based cohort study. SETTING......: Maternal anorexia nervosa (both active and past) is associated with lower size at birth and symmetric growth restriction, with evidence of worse outcomes in women with active disorder. Women with anorexia nervosa should be advised about achieving full recovery before conceiving. Similarly, targeting...

  15. Birth size in the most recent pregnancy and maternal mortality in premenopausal breast cancer by tumor characteristics.

    Science.gov (United States)

    Hajiebrahimi, Mohammadhossein; Cnattingius, Sven; Lambe, Mats; Hsieh, Chung-Cheng; Ahlgren, Johan; Adolfsson, Jan; Bahmanyar, Shahram

    2014-06-01

    The main aim of this study was to investigate possible associations between measures of offspring size at birth in the most recent pregnancy before premenopausal breast cancer diagnosis and the risks of maternal breast cancer mortality, taking tumor characteristics into account. We also aimed to investigate if these associations are modified by age at childbirth, time since childbirth, parity, and age at diagnosis. We followed 6,019 women from their date of premenopausal breast cancer (diagnosed from 1992 to 2008) until emigration, death or December 31st, 2009, whichever occurred first. We used Cox proportional hazard regression models, adjusted for parity, age at diagnosis, and education level, to estimate associations between women pregnancy, cancer characteristics and offspring birth characteristics, and mothers' mortality risk. In stratified analyses, mortality risks were estimated by tumor stage, ER or PR status. There was no association between offspring birth weight (HR = 1.00, 95 % CI 0.99-1.01, when used as a continuous variable), birth weight for gestational age or ponderal index, and premenopausal breast cancer mortality. Similarly, in analyses stratified by tumor stage, receptor status, and time difference between last pregnancy and date of diagnosis, we found no associations between birth size and breast cancer mortality. Our findings suggest that the hypothesis that "premenopausal breast cancer mortality is associated with offspring birth characteristics in the most recent pregnancy before the diagnosis" may not be valid. In addition, these associations are not modified by tumor characteristics.

  16. Challenges and Consequences of Preterm Birth

    Directory of Open Access Journals (Sweden)

    Sribas Goswami

    2014-11-01

    Full Text Available Preterm births have been a challenge to obstetricians and paediatricians. Preterm births affect all population irrespective of age, race and economic status due to lack of seriousness and awareness among the pregnant women. Preterm birth is one of the leading causes of infant morbidity and mortality, amounting to billions of dollars each year, thus increasing the cost for health care. Proper awareness programs about preterm birth may help the women population to know and understand better the signs and symptoms of preterm labour. Preterm birth is a complex cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, neighborhood characteristics, environmental exposures, medical conditions, infertility treatments, biological factors and genetics. Many of these factors occur in combination, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. The empirical investigation was carried out to draw correlation between preterm birth and eventuality through this study.

  17. Auspicious birth dates among Chinese in California.

    Science.gov (United States)

    Almond, Douglas; Chee, Christine Pal; Sviatschi, Maria Micaela; Zhong, Nan

    2015-07-01

    The number eight is considered lucky in Chinese culture, e.g. the Beijing Olympics began at 8:08 pm on 8/8/2008. Given the potential for discretion in selecting particular dates of labor induction or scheduled Cesarean section (C-section), we consider whether Chinese-American births in California occur disproportionately on the 8th, 18th, or 28th day of the month. We find 2.3% "too many" Chinese births on these auspicious birth dates, whereas Whites show no corresponding increase. The increase in Chinese births is driven by higher parity C-sections: the number of repeat C-sections is 6% "too high" on auspicious birth dates. Sons born to Chinese parents account for the entire increase; daughter deliveries do not seem to be timed to achieve "lucky" birth dates. We also find avoidance of repeat C-section deliveries on the 4th, 14th, and 24th of the month, considered unlucky in Chinese culture. Finally, we replicate earlier work finding that Friday the 13th delivery dates are avoided and document a particularly large decrease among Chinese. For Whites and Chinese in California, mothers with higher levels of education are particularly likely to avoid delivering on the 13th.

  18. Brazilian multicentre study on preterm birth (EMIP: prevalence and factors associated with spontaneous preterm birth.

    Directory of Open Access Journals (Sweden)

    Renato Passini

    Full Text Available BACKGROUND: Preterm birth rate is increasing and is currently a worldwide concern. The purpose of this study was to estimate the prevalence of preterm birth in a sample of health facilities in Brazil and to identify the main risk factors associated with spontaneous preterm births. METHODS AND FINDINGS: This was a multicentre cross sectional study on preterm births in 20 referral obstetric hospitals with a case-control component to identify factors associated with spontaneous preterm birth. Surveillance was implemented at all centres to identify preterm births. For eligible consenting women, data were collected through a post-delivery questionnaire completed with information from all mother-newborn medical records until death or discharge or at a maximum of 60 days post-delivery, whichever came first. The risk of spontaneous preterm birth was estimated with OR and 95%CI for several predictors. A non-conditional logistic regression analysis was then performed to identify independently associated factors. The overall prevalence of preterm birth was 12.3%. Among them, 64.6% were spontaneous and 35.4% therapeutic. In the case-control component, 2,682 spontaneous preterm births were compared to a sample of 1,146 term births. Multivariate analyses identified the following as risk factors for spontaneous preterm birth among women with at least one previous birth: a previous preterm birth (ORadj = 3.19, 2.30-4.43, multiple pregnancy (ORadj = 29.06, 8.43-100.2, cervical insufficiency (ORadj = 2.93, 1.07-8.05, foetal malformation (ORadj = 2.63, 1.43-4.85, polyhydramnios (ORadj = 2.30, 1.17-4.54, vaginal bleeding (ORadj = 2.16, 1.50-3.11, and previous abortion (ORadj = 1.39, 1.08-1.78. High BMI (ORadj = 0.94, 0.91-0.97 and weight gain during gestation (ORadj = 0.92, 0.89-0.95 were found to be protective factors. CONCLUSIONS: The preterm birth rate in these health facilities in Brazil is high and spontaneous preterm births

  19. Exploratory spatial data analysis for the identification of risk factors to birth defects

    Directory of Open Access Journals (Sweden)

    Song Xinming

    2004-06-01

    Full Text Available Abstract Background Birth defects, which are the major cause of infant mortality and a leading cause of disability, refer to "Any anomaly, functional or structural, that presents in infancy or later in life and is caused by events preceding birth, whether inherited, or acquired (ICBDMS". However, the risk factors associated with heredity and/or environment are very difficult to filter out accurately. This study selected an area with the highest ratio of neural-tube birth defect (NTBD occurrences worldwide to identify the scale of environmental risk factors for birth defects using exploratory spatial data analysis methods. Methods By birth defect registers based on hospital records and investigation in villages, the number of birth defects cases within a four-year period was acquired and classified by organ system. The neural-tube birth defect ratio was calculated according to the number of births planned for each village in the study area, as the family planning policy is strictly adhered to in China. The Bayesian modeling method was used to estimate the ratio in order to remove the dependence of variance caused by different populations in each village. A recently developed statistical spatial method for detecting hotspots, Getis's 7, was used to detect the high-risk regions for neural-tube birth defects in the study area. Results After the Bayesian modeling method was used to calculate the ratio of neural-tube birth defects occurrences, Getis's statistics method was used in different distance scales. Two typical clustering phenomena were present in the study area. One was related to socioeconomic activities, and the other was related to soil type distributions. Conclusion The fact that there were two typical hotspot clustering phenomena provides evidence that the risk for neural-tube birth defect exists on two different scales (a socioeconomic scale at 6.84 km and a soil type scale at 22.8 km for the area studied. Although our study has limited

  20. Birth control for new parents.

    Science.gov (United States)

    Jimenez, S L

    1994-09-01

    The author describes a range of contraceptive methods, and their side effects, which may be acceptable for new parents. The methods are the oral contraceptive pill, Norplant, Depo-Provera, and intrauterine devices (IUD). Natural methods and permanent contraception are options described in insets. The author notes that differences in the effectiveness rates among available types of oral contraceptive pills are small enough not to merit consideration when deciding which kind of pill may be appropriate. Combination birth control pills are taken daily at the same time for 21 out of 28 days. Combination pills are not recommended for women with a history of hypertension or other cardiovascular diseases, thrombophlebitis, migraine headaches, diabetes, active gallbladder disease, or mononucleosis. Any hormonal method may be particularly risky for smokers over age 35. The mini-pill, containing a smaller amount of progesterone and no estrogen, is taken every day and is also on a 28-day cycle. Containing no estrogen, the mini-pill is often recommended for women who are nursing, who are over age 35, or who suffer from hypertension or migraines. Both adverse and positive side effects may be experienced from use. Norplant is the brand name of a contraceptive system which releases progesterone from under the skin of a woman's upper arm over the course of a five-year period. The system has a theoretical effectiveness rate of more than 99%, although the duration of effectiveness may be less than five years in overweight women. The most common side effect is irregular bleeding, and removal is often a longer and more difficult procedure than insertion. The most commonly used injectable hormonal contraceptive is Depo-Provera, a progesterone solution which works for up to three months. The majority of users experience some side effects. Finally, IUDs are highly effective and need to be replaced only every 1-10 years depending upon how they are made. Women typically experience

  1. Successful live birth after rescue ICSI following failed fertilization

    Directory of Open Access Journals (Sweden)

    Neeta Singh

    2013-01-01

    Full Text Available In a conventional IVF cycle unexpected complete fertilization failure may occur in 10-25% of infertile women. To overcome this barrier of fertilization failure, some investigators have suggested intracytoplasmic sperm injection (ICSI on day 1 of an unfertilized mature oocyte, the so called "rescue ICSI". We report a case of fertilization failure followed by rescue ICSI resulting in a live birth. Although the success of rescue ICSI is still questionable, this procedure is worth an attempt in order to give the best chance to the couple in that cycle.

  2. Successful live birth after rescue ICSI following failed fertilization.

    Science.gov (United States)

    Singh, Neeta; Malhotra, Neena; Shende, Unnati; Tiwari, Abanish

    2013-01-01

    In a conventional IVF cycle unexpected complete fertilization failure may occur in 10-25% of infertile women. To overcome this barrier of fertilization failure, some investigators have suggested intracytoplasmic sperm injection (ICSI) on day 1 of an unfertilized mature oocyte, the so called "rescue ICSI". We report a case of fertilization failure followed by rescue ICSI resulting in a live birth. Although the success of rescue ICSI is still questionable, this procedure is worth an attempt in order to give the best chance to the couple in that cycle.

  3. Confronting Rhetorical Disability: A Critical Analysis of Women's Birth Plans

    Science.gov (United States)

    Owens, Kim Hensley

    2009-01-01

    Through its analysis of birth plans, documents some women create to guide their birth attendants' actions during hospital births, this article reveals the rhetorical complexity of childbirth and analyzes women's attempts to harness birth plans as tools of resistance and self-education. Asserting that technologies can both silence and give voice,…

  4. Birth/death process model

    Science.gov (United States)

    Solloway, C. B.; Wakeland, W.

    1976-01-01

    First-order Markov model developed on digital computer for population with specific characteristics. System is user interactive, self-documenting, and does not require user to have complete understanding of underlying model details. Contains thorough error-checking algorithms on input and default capabilities.

  5. The Danish National Quality Database for Births

    Directory of Open Access Journals (Sweden)

    Andersson CB

    2016-10-01

    Full Text Available Charlotte Brix Andersson,1 Christina Flems,2 Ulrik Schiøler Kesmodel3 1Department of Obstetrics and Gynecology, Aalborg University Hospital, Aalborg, Denmark; 2Department of Obstetrics and Gynecology, Hvidovre Hospital, Copenhagen, Denmark; 3Department of Obstetrics and Gynecology, Herlev University Hospital, University of Copenhagen, Copenhagen, Denmark Aim of the database: The aim of the Danish National Quality Database for Births (DNQDB is to measure the quality of the care provided during birth through specific indicators. Study population: The database includes all hospital births in Denmark. Main variables: Anesthesia/pain relief, continuous support for women in the delivery room, lacerations (third and fourth degree, cesarean section, postpartum hemorrhage, establishment of skin-to-skin contact between the mother and the newborn infant, severe fetal hypoxia (proportion of live-born children with neonatal hypoxia, delivery of a healthy child after an uncomplicated birth, and anesthesia in case of cesarean section. Descriptive data: Data have been collected since 2010. As of August 2015, data on women and children representing 269,597 births and 274,153 children have been collected. All data for the DNQDB is collected from the Danish Medical Birth Registry. Registration to the Danish Medical Birth Registry is mandatory for all maternity units in Denmark. During the 5 years, performance has improved in the areas covered by the process indicators and for some of the outcome indicators. Conclusion: Measuring quality of care during childbirth has inspired and enabled staff to attend to the quality of the care they provide and has led to improvements in most of the areas covered. Keywords: DNQDB, Denmark, childbirth, anesthesia

  6. Age, relationship status, and the planning status of births

    Directory of Open Access Journals (Sweden)

    Sarah Hayford

    2010-08-01

    Full Text Available In the United States historically, births to older mothers have been more likely to be planned than births to younger mothers, and births to unmarried women have been less likely to be planned than births to married women. As the average age of mothers has increased and more births have occurred outside of marriage in the United States, the intersection of these trends may have weakened the traditional linkage between age and birth planning status. In this article, we examine differences by maternal age in planning status of births using The 2002 National Survey of Family Growth. We find that age is strongly associated with planning status, but the association is reduced in magnitude when controlling for relationship status and is stronger for first and second births than for higher-parity births. Further, the association between union status and the planning status of births varies by race-ethnicity.

  7. 基于四次相位模型的改进NCS机载大斜视SAR成像%A Modified Nonlinear Chirp Scaling Algorithm Based on Four-order Phase Model for High Squint Mode Airborne SAR Imaging

    Institute of Scientific and Technical Information of China (English)

    肖靖; 胡学成; 章宏

    2013-01-01

    在斜视成像模式下,合成孔径雷达回波信号的距离向和方位向之间存在严重的相位耦合效应,影响高分辨聚焦.非线性调频变标(NCS)算法在二维频域进行三次相位滤波,并补偿二次距离压缩(SRC)随距离的线性变化,在一定程度上改善了斜视成像的聚焦性能.但随着斜视角的进一步增大,三次以上的高阶相位以及SRC随距离的非线性变化对高分辨聚焦的影响也逐渐加大,从而降低成像性能.文中提出基于回波四次相位多项式模型的改进NCS算法,该算法通过两维频域中的三次及四次相位滤波以补偿参考距离处的相位耦合项,并且考虑了SRC随距离的非线性变化对聚焦的影响.通过仿真及实测数据的成像效果验证了该方法的可行性及有效性.%On the condition of the squint mode imaging,there exits the serious phase coupling effect between the range and azimuth dimension in the echoes of synthetic aperture radar (SAR),which will have bad impact on high-resolution focusing.Nonlinear chirp scaling (NCS) algorithm performs a three-order phase filtering in the two-dimensional frequency and compensates the linear range variance on secondary range compression (SRC),which ameliorates the focusing performance to a certain extent.But with the increase of the squint angle,the influence that four-order and above phase and nonlinear range variance on SRC exert on highresolution focusing is also augmented,which will deteriorate the imaging effect.A refined NCS based on the four-order phase polynomial model is prepesed in this paper.The algorithm performs the three and four-order phase filtering in the two-dimensional frequency to compensate the phase coupling at the reference range and meanwhile compensates nonlinear range variance on SRC.The imaging results of simulation and live data demonstrate the feasibility and validity of the method are proposed in this paper.

  8. Maternal occupation and the risk of birth defects: an overview from the National Birth Defects Prevention Study.

    NARCIS (Netherlands)

    Herdt-Losavio, M.L.; Lin, S.; Chapman, B.R.; Hooiveld, M.; Olshan, A.; Liu, X.; DePersis, R.D.; Zhu, J.; Druschel, C.M.

    2010-01-01

    OBJECTIVES: To examine the association between a spectrum of 24 maternal occupations and 45 birth defects for hypothesis generating purposes. METHODS: Cases of isolated and multiple birth defects (n = 8977) and all non-malformed live-born control births (n = 3833) included in the National Birth Defe

  9. Setting research priorities to reduce global mortality from preterm birth and low birth

    Directory of Open Access Journals (Sweden)

    Rajiv Bahl Department of Child and Adolescent Health and Development, World Health Organization, Geneva, Switzerland

    2012-06-01

    Full Text Available This paper aims to identify health research priorities that could improve the rate of progress in reducing global neonatal mortality from preterm birth and low birth weight (PB/LBW, as set out in the UN's Millennium Development Goal 4.

  10. Obesity, gestational weight gain and preterm birth: a study within the Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Nøhr, Ellen Aagaard; Bech, Bodil Hammer; Vaeth, Michael;

    2007-01-01

    The aim of the present study was to assess the impact of obesity and gestational weight gain on the risk of subtypes of preterm birth, because little is known about these associations. The study included 62 167 women within the Danish National Birth Cohort for whom self-reported information about...

  11. EXPOSURE TO AREA-LEVEL PRETERM BIRTH DISPARITY AND EFFECTS ON BIRTH OUTCOMES

    Science.gov (United States)

    Black–white disparity in preterm birth (PTB) is persistent and not explained by individual factors. Given that exposure to inequality is associated with increased risk of adverse health, we examined PTB risk (birth <37 weeks gestational age) explained by living in U.S. census tra...

  12. Home birth or short-stay hospital birth in a low risk population in The Netherlands.

    NARCIS (Netherlands)

    Wiegers, T.A.; Zee, J. van der; Kerssens, J.J.; Keirse, M.J.N.C.

    1998-01-01

    In the Netherlands women with low risk pregnancies can choose whether they want to give birth at home or in hospital, under the care of their own primary caregiver. The majority of these women prefer to give birth at home, but over the last few decades an increasing number of low risk women have cho

  13. Twin-singleton differences in intelligence: a register-based birth cohort study of Norwegian males.

    Science.gov (United States)

    Eriksen, Willy; Sundet, Jon M; Tambs, Kristian

    2012-10-01

    The aim was to determine the difference in intelligence between singletons and twins in young adulthood. Data from the Medical Birth Register of Norway were linked with register data from the Norwegian National Conscript Service. The study base consisted of data on the 445,463 males who were born alive in either single or twin births in Norway during 1967-1984 and who were examined at the time of the mandatory military conscription (age 18-20). Within this study base, there were data on 1,653 sibships of full brothers that included at least one man born in single birth and at least one man born in twin birth (4,307 persons, including 2,378 twins and 1,929 singletons). The intelligence scores of the singletons were 11% (95% confidence interval [CI]: 9-14%) of a standard deviation higher than those of the twins, after adjustment for birth year, birth order, parental ages at delivery, parental education levels, and other factors. The adjusted within-family difference was also 11% (95 % CI: 6-16%) of a standard deviation, indicating that unmeasured factors shared by siblings (e.g., maternal body height) have not influenced the estimate in important ways. When gestational age at birth was added to the model, the estimate for the difference in intelligence score was approximately the same. Including birth weight in the model strongly reduced the estimate. In conclusion, twins born in Norway during 1967-1984 had slightly lower intelligence in early adulthood compared with the singletons.

  14. Low birth weight in Kuala Lumpur.

    Science.gov (United States)

    Tahir, H M; Ismail, N N; Gebbie, D A

    1991-06-01

    Low birth weight babies are defined as those weighing under 2,500 g. They make 13.5% of all births at the Maternity Hospital, Kuala Lumpur but contribute to 74.8% of all deaths. They are most likely to be Indian babies and least likely to be Chinese. Among all 3 communities, the primigravidae tend to produce smaller babies than multiparae but this is also true for the Indian of parity more than 3. The Malay teenager is more likely to produce small babies than their older counterparts but not so with the Indian and Chinese. There are definite clinical factors associated with or causing the births of small babies and the lighter the baby, the more influential are these factors. Maternal hypertension, antepartum haemorrhage, multiple pregnancy and unexplained intrauterine death are the 4 outstanding associations with both low birth weight and perinatal death. Although the spontaneous (often premature) onset of labour was the commonest preceding factor, it was much less important in the lowest birth weight groups of babies and was a less important contributor to perinatal death.

  15. Modified NSGA-II-DE with two-dimensional information ordering strategy and magnitude threshold%采用数量级阈值与二维信息排序策略的NSGA-II-DE算法

    Institute of Scientific and Technical Information of China (English)

    杨景明; 侯宇浩; 孙浩; 赵志伟

    2016-01-01

    To improve the performance of NSGA-II-DE solving the optimization problem with the complex Pareto solution set, the defection of the crowding distance formula and crowding distance mechanism in the NSGA-II is analyzed. Taking NSGA-II-DE as the basic frame, the crowding-distance sorting method is changed into the two-dimensional information ordering strategy of including angle and pseudo radius. The intervention of orders of magnitude threshold is joined in the crowding distance mechanism, and the improved algorithm(2D-Thr) is proposed, which is compared with NSGA-II-DE, NSGA-II and MACPSO by using the quantitative calculation of three evaluation indexes:the degree of diversity, convergence and spacing. The simulation results show that the improved algorithm not only inherits the excellent convergence of the original algorithm, but also improves the distribution of the Pareto front.%为提高算法NSGA-II-DE解决含有复杂Pareto解集优化问题的性能,分析原NSGA-II中拥挤度计算公式和排挤机制的缺陷,并以NSGA-II-DE算法为基本框架,将传统拥挤度排序策略改为包含有角度信息与伪半径的二维信息排序策略.在拥挤度排挤机制中加入数量级阈值的干预,提出改进算法2D-Thr.选取多样度、收敛度和分布度3个评价指标进行量化计算,并与NSGA-II-DE、原NSGA-II、MACPSO进行比较.仿真结果表明,改进算法不仅有效继承了原算法优良的收敛性,而且提高了Pareto前沿的分布度.

  16. Season of birth of breast cancer patients and its relation to patients' reproductive history in Tokyo, Japan.

    Directory of Open Access Journals (Sweden)

    Nakao,Hiroko

    1988-08-01

    Full Text Available Seasonal distribution of the birth dates of 405 pre-menopausal and 285 post-menopausal breast cancer patients was investigated in order to determine whether or not the season of their birth was related to various reproductive risk factors of breast cancer, including nulliparity, late age at first birth, early age at menarche, late age at menopause, and a history of benign breast diseases. The seasonal distributions of births were compared between groups of patients categorized according to whether they possessed each risk factor or not, separately for pre- and post-menopausal patients. Patients with the same menopausal status generally had the same seasonal distribution of births, irrespective of whether or not they possessed a risk factor. Moreover, low-risk patients exhibited more deviation in the seasonal distribution of birth from general births than the high-risk patients. These results suggest that the distinctive seasonal distribution of birth observed in breast cancer patients is basically a phenomenon independent from the effect of the reproductive history on the occurrence of breast cancer, and that specific seasonal factors are involved at the fetal or neonatal stage in the etiology of breast cancer.

  17. Inverted Order

    Institute of Scientific and Technical Information of China (English)

    贺文婷

    2015-01-01

    This paper discusses the issue related to Inverted Order. There are two forms of Inversion, which are Partial Inversion and Complete Inversion. I analyze three main reasons of Inversion and its usages in details. And what’s more, under what conditions should we use Inverted construction? How can we distinguish the different usages of Complete Inversion and Partial Inversion? In this paper, I will talk more details about Inversion.%本篇论文讨论有关倒装语序的问题。倒装有两种形式,即部分倒装和完全倒装。文中分析了倒装的三个原因及其用法。具体的,在什么情况下需要使用倒装结构?我们如何区分完全倒装和部分倒装的不同用法?本篇论文将作具体阐述。

  18. Replicating Cardiovascular Condition-Birth Month Associations

    Science.gov (United States)

    Li, Li; Boland, Mary Regina; Miotto, Riccardo; Tatonetti, Nicholas P.; Dudley, Joel T.

    2016-01-01

    Independent replication is vital for study findings drawn from Electronic Health Records (EHR). This replication study evaluates the relationship between seasonal effects at birth and lifetime cardiovascular condition risk. We performed a Season-wide Association Study on 1,169,599 patients from Mount Sinai Hospital (MSH) to compute phenome-wide associations between birth month and CVD. We then evaluated if seasonal patterns found at MSH matched those reported at Columbia University Medical Center. Coronary arteriosclerosis, essential hypertension, angina, and pre-infarction syndrome passed phenome-wide significance and their seasonal patterns matched those previously reported. Atrial fibrillation, cardiomyopathy, and chronic myocardial ischemia had consistent patterns but were not phenome-wide significant. We confirm that CVD risk peaks for those born in the late winter/early spring among the evaluated patient populations. The replication findings bolster evidence for a seasonal birth month effect in CVD. Further study is required to identify the environmental and developmental mechanisms. PMID:27624541

  19. Pooling birth cohorts in allergy and asthma

    DEFF Research Database (Denmark)

    Bousquet, Jean; Anto, Josep; Sunyer, Jordi

    2013-01-01

    Long-term birth cohort studies are essential to understanding the life course and childhood predictors of allergy and the complex interplay between genes and the environment (including lifestyle and socioeconomic determinants). Over 100 cohorts focusing on asthma and allergy have been initiated...... in the world over the past 30 years. Since 2004, several research initiatives funded under the EU Framework Program for Research and Technological Development FP6-FP7 have attempted to identify, compare, and evaluate pooling data from existing European birth cohorts (GA(2)LEN: Global Allergy and European...... Network, FP6; ENRIECO: Environmental Health Risks in European Birth Cohorts, FP7; CHICOS: Developing a Child Cohort Research Strategy for Europe, FP7; MeDALL: Mechanisms of the Development of ALLergy, FP7). However, there is a general lack of knowledge about these initiatives and their potentials. The aim...

  20. Antimicrobials for Preterm Birth Prevention: An Overview

    Directory of Open Access Journals (Sweden)

    Akila Subramaniam

    2012-01-01

    Full Text Available Objective. Preterm birth (PTB remains a major cause of neonatal morbidity and mortality. The association between PTB and infection is clear. The purpose of this report is to present a focused review of information on the use of antibiotics to prevent PTB. Methods. We performed a search of the PubMed database restricted to clinical trials or meta-analyses published in English from 1990 through May 2011 using keywords “antibiotics or antimicrobials” and “preterm.” Results. The search yielded 67 abstracts for review. We selected 31 clinical trials (n=26 or meta-analysis (n=5 for further full-text review. Discussion of each eligible clinical trial, its specific inclusion criteria, antibiotic regimen used, and study results are presented. Overall, trials evaluating antibiotic treatment to prevent preterm birth have yielded mixed results regarding any benefit. Conclusion. Routine antibiotic prophylaxis is not recommended for prevention of preterm birth.

  1. Do physical activity and aerobic fitness moderate the association between birth weight and metabolic risk in youth? The European Youth Heart Study

    DEFF Research Database (Denmark)

    Ridgway, Charlotte L; Brage, Soren; Anderssen, Sigmund A

    2011-01-01

    AbstractObjective: Lower birth weight has been associated with greater risk of metabolic diseases. This study aimed to examine whether physical activity and aerobic fitness may modify associations between birth weigh and metabolic risk. Research Design and Methods: The European Youth Heart Study ...... with higher FMI (ß=0.49, 95%CI: 0.21, 0.80, p=0.001) and greater waist circumference (ß=0.90, 95%CI: 0.32, 1.47, p......AbstractObjective: Lower birth weight has been associated with greater risk of metabolic diseases. This study aimed to examine whether physical activity and aerobic fitness may modify associations between birth weigh and metabolic risk. Research Design and Methods: The European Youth Heart Study...

  2. Occupational lifting, fetal death and preterm birth

    DEFF Research Database (Denmark)

    Mocevic, Emina; Svendsen, Susanne Wulff; Jørgensen, Kristian Tore;

    2014-01-01

    OBJECTIVE: We examined the association between occupational lifting during pregnancy and risk of fetal death and preterm birth using a job exposure matrix (JEM). METHODS: For 68,086 occupationally active women in the Danish National Birth Cohort, interview information on occupational lifting...... was collected around gestational week 16. We established a JEM based on information from women, who were still pregnant when interviewed. The JEM provided mean total loads lifted per day within homogeneous exposure groups as informed by job and industry codes. All women were assigned an exposure estimate from...

  3. [The birth of modern surgery].

    Science.gov (United States)

    Nordlander, Nils Brage

    2007-01-01

    In ancient India and Persia surgeons were highly respected and their operating skill with nose plastic and catatact couching is documented. In mediaeval Europe surgery was classified as a handicraft profession and belonged to the barbers guild with the soapcup as symbol, much inferior to the academic trained medical doctors. In war surgery leg amputation after shotwounds demanded great rapidity, since no anestetic but alcohol was available. In the 18th century surgeons becamea accepted as medical doctors e.g. John Hunter in London and OlofAcrel in Stockholm. A great step in the development of surgery was Mortons introduction of eter narcosis 1846. Now surgeons could work carefully without hurry. The next step took Joseph Lister. Born in 1827 he studied medicine in London and then qualified as surgeon at the famous James Syme's clinic in Edinburgh- In 1860 he became professor of surgery in Glasgow. His clinic like all others was afflicted with suppuration, septicemia, erysipelas and gangrene. He happened to read a thesis by Louis Pasteur, who proved that fermentation and putrefaction in wine production were caused by bacteria. Lister saw the similarity with wound suppuration. Carbolic acid was used in wood industri to prevent putrefaction and Lister now introduced this as a mean to cure or prevent suppuration and septicemia. He washed the wound and soaked the bandage with carbolic acid, which he also sprayed in the air of the operation theatre to prevent air carried infection. In 1867 he published his experiences in the Lancet: Out of 11 complicated fractures (where the bone-ends penetrated the skin) 9 healed without complications. Earlier such fractures ended with dead or amputation. The wards were now free from infected wounds. Abroad Listers findings were received with entusiasm, Ernst von Bergmann i Berlin modified the antiseptic method into a aseptic one and sterilized the room, the instruments and clothes and could so avoid the carbolic acid spray, which was

  4. Neonatal morbidity associated with late preterm and early term birth: the roles of gestational age and biological determinants of preterm birth

    Science.gov (United States)

    Brown, Hilary K; Speechley, Kathy Nixon; Macnab, Jennifer; Natale, Renato; Campbell, M Karen

    2014-01-01

    Background The aim of this study was to elucidate the role of gestational age in determining the risk of neonatal morbidity among infants born late preterm (34–36 weeks) and early term (37–38 weeks) compared with those born full term (39–41 weeks) by examining the contribution of gestational age within the context of biological determinants of preterm birth. Methods This was a retrospective cohort study. The sample included singleton live births with no major congenital anomalies, delivered at 34–41 weeks of gestation to London-Middlesex (Canada) mothers in 2002–11. Data from a city-wide perinatal database were linked with discharge abstract data. Multivariable models used modified Poisson regression to directly estimate adjusted relative risks (aRRs). The roles of gestational age and biological determinants of preterm birth were further examined using mediation and moderation analyses. Results Compared with infants born full term, infants born late preterm and early term were at increased risk for neonatal intensive care unit triage/admission [late preterm aRR = 6.14, 95% confidence interval (CI) 5.63, 6.71; early term aRR = 1.54, 95% CI 1.41, 1.68] and neonatal respiratory morbidity (late preterm aRR = 6.16, 95% CI 5.39, 7.03; early term aRR = 1.46, 95% CI 1.29, 1.65). The effect of gestational age was partially explained by biological determinants of preterm birth acting through gestational age. Moreover, placental ischaemia and other hypoxia exacerbated the effect of gestational age on poor outcomes. Conclusions Poor outcomes among infants born late preterm and early term are not only due to physiological immaturity but also to biological determinants of preterm birth acting through and with gestational age to produce poor outcomes. PMID:24374829

  5. The Relationship between Maternal Vitamin D Deficiency and Low Birth Weight Neonates

    Directory of Open Access Journals (Sweden)

    Nasrin Khalessi

    2015-10-01

    Full Text Available Objective:Maternal hypovitaminosis D may impair fetal growth and cause adverse pregnancy outcomes including intrauterine growth restriction and neonatal low birth weight. The aim of this study is to evaluate the relationship between maternal vitamin D status and neonate’s birth weight.Materials and methods:A cross-sectional, descriptive analytical study was carried out in the nursery ward of 2 hospitals (Tehran-Iran during one year (January 2011- January 2012. One hundred and two neonates were categorized into two groups, neonates with birth weight< 2500 gr (n=52 and neonates with birth weight>2500 gr (n=50. Data regarding medical history, physical examination and anthropometric measurements of neonates were noted in a questionnaire. Birth time blood samples of their mothers were analyzed for serum 25-(OH-vitamin D by ELISA method. Maternal vitamin D status was compared in two groups.Results:Mean maternal vitamin D (vit D level was 31.46 nmol/L. Forty eight percent of mothers had vitamin D deficiency, 27.5% had vit D insufficiency and 24.5% were normal. Mean maternal vitamin D level of LBW neonates was lower than other group; 25.05 vs. 38.13 (p= 0.001. All mothers of neonates with head circumference ≤ 33 cm also had vitamin D deficiency (p= 0.007.Conclusion:Maternal Vitamin Ddeficiency may increase the risk of low birth weight neonate and modifying maternal nutrition behavior and their vit D level could be beneficial on pregnancy outcome.

  6. Birth weight and two possible types of maternal effects on male sexual orientation: a clinical study of children and adolescents referred to a Gender Identity Service.

    Science.gov (United States)

    VanderLaan, Doug P; Blanchard, Ray; Wood, Hayley; Garzon, Luisa C; Zucker, Kenneth J

    2015-01-01

    This study tested predictions regarding two hypothesized maternal immune responses influencing sexual orientation: one affecting homosexual males with high fraternal birth order and another affecting firstborn homosexual individuals whose mothers experience repeated miscarriage after the birth of the first child. Low birth weight was treated as a marker of possible exposure to a maternal immune response during gestation. Birth weight was examined relative to sibship characteristics in a clinical sample of youth (N = 1,722) classified as heterosexual or homosexual based on self-reported or probable sexual orientation. No female sexual orientation differences in birth weight were found. Homosexual, compared to heterosexual, males showed lower birth weight if they had one or more older brothers--and especially two or more older brothers--or if they were an only-child. These findings support the existence of two maternal immune responses influencing male sexual orientation and possibly also cross-gender behavior and identity.

  7. Weight at birth and subsequent fecundability

    DEFF Research Database (Denmark)

    Wildenschild, Cathrine; Riis, Anders H; Ehrenstein, Vera

    2014-01-01

    OBJECTIVE: To examine the association between a woman's birth weight and her subsequent fecundability. METHOD: In this prospective cohort study, we included 2,773 Danish pregnancy planners enrolled in the internet-based cohort study "Snart-Gravid", conducted during 2007-2012. Participants were 18...

  8. The Birth and Death of a Universe

    CERN Document Server

    Fried, H M

    2016-01-01

    This letter is meant to be a brief survey of several recent publications providing a simple, sequential explanation of Dark Energy, Inflation and Dark Matter, which leads to a simple picture of the why and the how of the Big Bang, and thence to a possible understanding of the birth and death of a Universe.

  9. Model checking Quasi Birth Death processes

    NARCIS (Netherlands)

    Remke, A.K.I.

    2004-01-01

    Quasi-Birth Death processes (QBDs) are a special class of infinite state CTMCs that combines a large degree of modeling expressiveness with efficient solution methods. This work adapts the well-known stochastic logic CSL for use on QBDs as CSL and presents model checking algorithms for so-called lev

  10. Pregnancy and birth cohort resources in europe

    DEFF Research Database (Denmark)

    Larsen, Pernille Stemann; Kamper-Jørgensen, Mads; Adamson, Ashley

    2013-01-01

    During the past 25 years, many pregnancy and birth cohorts have been established. Each cohort provides unique opportunities for examining associations of early-life exposures with child development and health. However, to fully exploit the large amount of available resources and to facilitate cross...

  11. Proteomic Biomarkers for Spontaneous Preterm Birth

    DEFF Research Database (Denmark)

    Kacerovsky, Marian; Lenco, Juraj; Musilova, Ivana

    2014-01-01

    This review aimed to identify, synthesize, and analyze the findings of studies on proteomic biomarkers for spontaneous preterm birth (PTB). Three electronic databases (Medline, Embase, and Scopus) were searched for studies in any language reporting the use of proteomic biomarkers for PTB published...

  12. Maastricht essential fatty acid birth cohort

    NARCIS (Netherlands)

    Van der Wurff, Inge; De Groot, Renate; Stratakis, Nikos; Gielen, Marij; Hornstra, Gerard; Zeegers, Maurice

    2016-01-01

    The Maastricht Essential Fatty Acid Birth cohort (MEFAB) was established in 1989 to study the changes in fatty acid concentration during pregnancy and how this related to the fatty acid concentrations of the neonate. The original sample contains data of 1203 subjects. Some participants whom particip

  13. BIRTH CONTROL, CULTURE AND THE POOR.

    Science.gov (United States)

    RIESSMAN, CATHERINE KOHLER

    EVIDENCE FROM STUDIES INDICATE THAT THE POOR DESIRE TO CONTROL THEIR FAMILY SIZE AND PREFER TO USE BIRTH CONTROL DEVICES (PILLS OR INTERUTERINE DEVICES) WHICH ARE NOT COITUS-CONNECTED AND ANTITHETICAL TO THEIR SEXUAL ATTITUDES AND TRADITIONS. CONTRARY TO THE BELIEF THAT THE POOR ARE LESS LIKELY TO UTILIZE EXISTING HEALTH FACILITIES OR TO TAKE PART…

  14. Cesarean Births and Attachment Behaviors of Fathers.

    Science.gov (United States)

    1984-01-01

    Apgar scores are 7 or greater at both 1 and 5...status, indications for cesarean delivery, anesthesis, and infant’s gestational age, birth weight, and apgar scores . Prior to meeting the father, the...delivery and attachment score ; highest school grade completed and attachment score ; and age and child care experience of the father and attachment score

  15. When Your Baby Has a Birth Defect

    Science.gov (United States)

    ... places to get information include: books written for parents of children with birth defects national organizations such as the March of Dimes, the National Information Center for Children and Youth With Disabilities, and those ... groups or other parents Keep a file with a running list of ...

  16. Characterization of Live Birth with Congenital Malformations

    Directory of Open Access Journals (Sweden)

    Carlos Acosta Batista

    2015-06-01

    Full Text Available Background: the congenital malformations constitute the first cause of infantile death in developed countries, as well as the second cause of death in Cuba, in younger children of an elderly year. Objective: characterizing the live birth newborns with congenital malformations at Marianao municipality during the year 2011. Methods: descriptive, cross-section study of 30- live birth with congenital malformations at Marianao municipality in Havana, during the year 2011. Some of analyzed variables were: sex, affected system, congenital malformation, type of malformation, severity, birth weight, gestational age, prenatal diagnosis, family history of congenital malformation, maternal age, among others. Results: the masculine sex was the more affected, with 18 cases that represented the 60 %. The Polydactyl was the malformation further frequent, with 23.3 %, followed by the pre-aural appendix, with 10 %. The 20 % was born pre-term and only in the 10 % of the cases was obtained a positive result in the tests of prenatal diagnosis. Conclusions: the live birth with MC were characterized to be males with isolated MC and less severe, full term, normopeso, without family history of the aforementioned affection and with a negative prenatal diagnosis. The majority of mothers belonged to 20-35's age group years, they suffered from hypertension and during pregnancy, the principal diseases that they presented were the sepsis and anemia.

  17. Season of birth shapes neonatal immune function

    DEFF Research Database (Denmark)

    Thysen, Anna Hammerich; Rasmussen, Morten Arendt; Kreiner-Møller, Eskil

    2016-01-01

    displayed high levels of activated T cells and mucosal IL-12p70, TNF-α, IL-13, IL-10, and IL-2; and winter newborns had the highest levels of innate immune cells, IL-5, type 17-related immune mediators, and activated T cells. Birth season fluctuations seem to affect neonatal immune development and result...

  18. 38 CFR 3.209 - Birth.

    Science.gov (United States)

    2010-07-01

    ... attendance at birth. (e) Copy of Bible or other family record certified to by a notary public or other officer with authority to administer oaths, who should state in what year the Bible or other book in which... establish the facts in issue, including census records, original baptismal records, hospital...

  19. Preventing Repeat Teen Births PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2013-04-02

    This 60 second public service announcement is based on the April 2013 CDC Vital Signs report, which discusses repeat teen births and ways teens, parents and guardians, health care providers, and communities can help prevent them.  Created: 4/2/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 4/2/2013.

  20. Magnesium for neuroprotection in birth asphyxia

    Directory of Open Access Journals (Sweden)

    Geeta Gathwala

    2010-01-01

    Full Text Available Background : Magnesium ion gates the N-methyl-D-aspartate (NMDA receptor and may protect the brain from NMDA receptor-mediated asphyxial injury. The present study evaluated the neuroprotective role of magnesium in birth asphyxia. Material and Methods : Forty term neonates with severe birth asphyxia were randomized to either the study group or the control group. Neonates in the study group received magnesium sulfate in a dose of 250 mg/kg initially within half an hour of birth followed by 125 mg/kg at 24 and 48 h of birth. Cranial computed tomography (CT scan and electroencephalography (EEG were performed for all the babies. Denver II was used for developmental assessment at the age of 6 months. Results : Two babies in each group died of severe hypoxic ischemic encephalopathy. EEG abnormalities occurred in 43.75% of the cases in the control group compared with 31.25% in the study group. CT scan abnormalities were present in 62.5% of the control group compared with 37.5% of the cases in the study group. The Denver II assessment at 6 months revealed that there were five babies that were either abnormal or suspect in the control group compared with three in the study group. Conclusion : Magnesium is well tolerated and does appear to have beneficial effects in babies with severe asphyxia. More data is however needed and a large multicenter trial should be conducted.

  1. Intrauterine perineal tear: a rare birth injury.

    Science.gov (United States)

    Bhat, B V; Jagdish, S; Srinivasan, S; Pandey, K K; Chatterjee, H

    1992-12-01

    A rare case of birth injury having intrauterine complete perineal tear is presented. Defunctioning sigmoid colostomy was undertaken because of bad perineal condition. The baby died of Pseudomonas septicemia on the 15th day before definitive surgical procedure could be undertaken.

  2. Birth and evolution of visionics

    Science.gov (United States)

    Wiseman, Robert S.

    1992-09-01

    The success of the U.S. Army's Night Vision Program at Fort Belvoir, VA was significantly influenced by the evolution and timely culmination of Visionics technology which was initiated by Mr. John Johnson. In the late 1950's, Visionics technology started with concern for Near Infrared (NIR) and Image Intensifier (II) Night Vision developments. It resulted in the Johnson Criteria which coupled system physical characteristics to visual performance by using resolution of line pairs across the minimum dimension of a target. This led to development of image evaluation procedures and standardized laboratory testing. Later the Visionics team addressed the Far Infrared (FIR) system performance and developed a series of FLIR Performance Models. The Visionic's Static Performance Model computer code was accepted and proliferated widely by the mid-70's. Visionics moved from static viewing to address the problems of search effectiveness. Then came more work on target signatures and the consideration of the effects of fog, rain, snow, artillery barrages, and realistic battlefield conditions on system performance in order to assure the utility of fielded equipments for all theaters of interest. The general use of the various Visionics models and methodology throughout Government and Industry is recognition of the contributions made by Mr. John Johnson and his Visionics staff.

  3. The joint influence of area income, income inequality, and immigrant density on adverse birth outcomes: a population-based study

    Directory of Open Access Journals (Sweden)

    Giraud Julie

    2009-07-01

    Full Text Available Abstract Background The association between area characteristics and birth outcomes is modified by race. Whether such associations vary according to social class indicators beyond race has not been assessed. Methods This study evaluated effect modification by maternal birthplace and education of the relationship between neighbourhood characteristics and birth outcomes of newborns from 1999–2003 in the province of Québec, Canada (N = 353,120 births. Areas (N = 143 were defined as administrative local health service delivery districts. Multi-level logistic regression was used to model the association between three area characteristics (median household income, immigrant density and income inequality and the two outcomes preterm birth (PTB and small-for-gestational age (SGA birth. Effect modification by social class indicators was evaluated in analyses stratified according to maternal birthplace and education. Results Relative to the lowest tertile, high median household income was associated with SGA birth among Canadian-born mothers (odds ratio (OR 1.13, 95% confidence interval (CI 1.06, 1.20 and mothers with high school education or less (OR 1.13, 95% CI 1.02, 1.24. Associations between median household income and PTB were weaker. Relative to the highest tertile, low immigrant density was associated with a lower odds of PTB among foreign-born mothers (OR 0.79, 95% CI 0.63, 1.00 but a higher odds of PTB among Canadian-born mothers (OR 1.14, 95% CI 1.07, 1.21. Associations with income inequality were weak or absent. Conclusion The association between area factors and birth outcomes is modified by maternal birthplace and education. Studies have found that race interacts in a similar manner. Public health policies focussed on perinatal health must consider the interaction between individual and area characteristics.

  4. [Paradise lost - Reflexion of preterm birth from the perspective after a brain injury. A case study].

    Science.gov (United States)

    Cignacco, Eva; Zuñiga, Franziska; Kurth, Elisabeth

    2011-04-01

    This case study describes the history of an older person, born in 1942 preterminally, who suffered from a brain injury in 2005. Problems in rehabilitation elicited the search for a new meaning in life. In analysing and interpreting the brain injury, preterm birth played a crucial role. The theme of lifelong compensation of deficits, caused by preterm birth, gained new importance. The consequences of brain injury left unsuccessful his former modes of compensation. He was confronted with finding new strategies in order to counterbalance the growing decompensation. This report is based on and was developed through respect for the principles of user involvement in research.

  5. Birth Weight in Type 1 Diabetic Pregnancy

    Directory of Open Access Journals (Sweden)

    Jacquemyn Yves

    2010-01-01

    Full Text Available Our aim was to investigate whether birth weight in mothers with diabetes mellitus type 1 is higher as compared to nondiabetic controls. Methods. A retrospective study was performed using an existing database covering the region of Flanders, Belgium. Data included the presence of diabetes type 1, hypertension, parity, maternal age, the use artificial reproductive technology, fetal- neonatal death, congenital anomalies, admission to a neonatal intensive care unit, and delivery by Caesarean section or vaginally. Results. In the period studied, 354 women with diabetes type 1 gave birth and were compared with 177.471 controls. Women with type 1 diabetes more often had a maternal age of over 35 years (16.7% versus 12.0%, P=.008, OR 1.46; 95% CI 1.09–1.95. They more frequently suffered hypertension in pregnancy (19.5% versus 4.7%, P<.0001, OR 4.91; 95% CI 3.73–6.44. Perinatal death was significantly higher in the diabetes mellitus group (3.05% versus 0.73%, P<.0001, OR 4.28; 95% CI 2.22–8.01. Caesarean section was performed almost 5 times as frequently in the diabetes versus the control group (OR 4.57; 95% CI 3.70–5.65. Birth weight was significantly higher in diabetic pregnant women from 33 until 38 weeks included, but those reaching 39 weeks and later were not different with control groups. Conclusion. In Belgium, diabetic pregnancy still carries a high risk for fetal and maternal complications; in general birth weight is significantly higher but for those reaching term there is no significant difference in birth weight.

  6. Mother's occupation and sex ratio at birth

    Directory of Open Access Journals (Sweden)

    Amiot Volodymyr

    2010-05-01

    Full Text Available Abstract Background Many women are working outside of the home, occupying a multitude of jobs with varying degrees of responsibilities and levels of psychological stress. We investigated whether different job types in women are associated with child sex at birth, with the hypothesis that women in job types, which are categorized as "high psychological stress" jobs, would be more likely to give birth to a daughter than a son, as females are less vulnerable to unfavourable conditions during conception, pregnancy and after parturition, and are less costly to carry to term. Methods We investigated the effects of mother's age, maternal and paternal job type (and associated psychological stress levels and paternal income on sex ratio at birth. Our analyses were based on 16,384 incidences of birth from a six-year (2000 to 2005 inclusive childbirth dataset from Addenbrooke's Hospital in Cambridge, UK. We obtained a restricted data set from Addenbrooke's hospital with: maternal age, maternal and paternal occupations, and whether or not the child was first-born. Results Women in job types that were categorized as "high stress" were more likely to give birth to daughters, whereas women in job types that were categorized as "low stress" had equal sex ratios or a slight male bias in offspring. We also investigated whether maternal age, and her partner's income could be associated with reversed offspring sex ratio. We found no association between mother's age, her partner's job stress category or partner income on child sex. However, there was an important interaction between job stress category and partner income in some of the analyses. Partner income appears to attenuate the association between maternal job stress and sex ratios at moderate-income levels, and reverse it at high-income levels. Conclusions To our knowledge this is the first report on the association between women's job type stress categories and offspring sex ratio in humans, and the

  7. The spatial evaluation of neighborhood clusters of birth defects

    Energy Technology Data Exchange (ETDEWEB)

    Frisch, J.D.

    1990-04-16

    Spatial statistics have recently been applied in epidemiology to evaluate clusters of cancer and birth defects. Their use requires a comparison population, drawn from the population at risk for disease, that may not always be readily available. In this dissertation the plausibility of using data on all birth defects, available from birth defects registries, as a surrogate for the spatial distribution of all live births in the analysis of clusters is assessed. Three spatial statistics that have been applied in epidemiologic investigations of clusters, nearest neighbor distance, average interpoint distance, and average distance to a fixed point, were evaluated by computer simulation for their properties in a unit square, and in a zip code region. Comparison of spatial distributions of live births and birth defects was performed by drawing samples of live births and birth defects from Santa Clara County, determining the street address at birth, geocoding this address and evaluating the resultant maps using various statistical techniques. The proposed method was then demonstrated on a previously confirmed cluster of oral cleft cases. All live births for the neighborhood were geocoded, as were all birth defects. Evaluation of this cluster using the nearest neighbor and average interpoint distance statistics was performed using randomization techniques with both the live births population and the birth defect population as comparison groups. 113 refs., 36 figs., 16 tabs.

  8. The Survey of Birth Defects Rate Based on Birth Registration System

    Directory of Open Access Journals (Sweden)

    Min Yu

    2015-01-01

    Conclusions: A downward trend of birth defects was observed in Xi′an City from 2003 to 2012. NTDs significantly decreased after large-scale supplemental folic acid intervention, while the incidence rate of CHD significantly increased.

  9. Maternal and perinatal aspects of birth defects: a case-control study

    Directory of Open Access Journals (Sweden)

    Geiza Cesar Nhoncanse

    2014-03-01

    Full Text Available Objective: To assess the prevalence of congenital defects and to investigate their maternal and perinatal associated aspects by reviewing Birth Certificates. Methods: Among all born alive infants from January 2003 to December 2007 in Maternidade da Santa Casa de Misericórdia of São Carlos, Southeast Brazil (12,199 infants, cases were identified as the newborns whose Birth Certificates registered any congenital defect. The same sex neonate born immediately after the case was chosen as a control. In total, 13 variables were analyzed: six were maternal related, three represented labor and delivery conditions and four were linked to fetal status. The chi-square and Fisher's exact tests were used to compare the variables, being significant p<0.05. Results: The prevalence of congenital defects was 0.38% and the association of two or more defects represented 32% of all cases. The number of mothers whose education level was equal or less than eight years was significantly higher among the group with birth defects (p=0.047. A higher frequency of prematurity (p<0.001 and cesarean delivery (p=0.004 was observed among children with birth defects. This group also showed lower birth weight and Apgar scores in the 1st and the 5th minute (p<0.001. Conclusions: The prevalence of congenital defect of 0.38% is possibly due to underreporting. The defects notified in the Birth Certificates were only the most visible ones, regardless of their severity. There is a need of adequate epidemiological monitoring of birth defects in order to create and expand prevention and treatment programs.

  10. Effects of Second Trimester Maternal Hemoglobin Levels on Birth Weight and Birth Time

    OpenAIRE

    DÜNDAR, Özgür; ÇİFTPINAR, Tolga; TÜTÜNCÜ, Levent; ERGÜR, Ali Rüştü; ATAY, Mehmet Vedat; MÜNGEN, Ercüment; YERGÖK, Yusuf Ziya

    2010-01-01

    Objectives: The aim of our study is to investigate the effects of anemia at the second trimester on birth weight and birth time. Patients and Methods: The medical reports of 1116 pregnant women who attended and delivered at our clinic between January 2005 and October 2007 were analyzed retrospectively. The patients were divided into two groups as having <9 gr/dl hemoglobin or ≥9 gr/dl hemoglobin levels. The gestational and the perinatal outcomes of the normal a...

  11. Default settings of computerized physician order entry system order sets drive ordering habits

    Directory of Open Access Journals (Sweden)

    Jordan Olson

    2015-01-01

    Full Text Available Background: Computerized physician order entry (CPOE systems are quickly becoming ubiquitous, and groups of orders ("order sets" to allow for easy order input are a common feature. This provides a streamlined mechanism to view, modify, and place groups of related orders. This often serves as an electronic equivalent of a specialty requisition. A characteristic, of these order sets is that specific orders can be predetermined to be "preselected" or "defaulted-on" whenever the order set is used while others are "optional" or "defaulted-off" (though there is typically the option is to "deselect" defaulted-on tests in a given situation. While it seems intuitive that the defaults in an order set are often accepted, additional study is required to understand the impact of these "default" settings in an order set on ordering habits. This study set out to quantify the effect of changing the default settings of an order set. Methods: For quality improvement purposes, order sets dealing with transfusions were recently reviewed and modified to improve monitoring of outcome. Initially, the order for posttransfusion hematocrits and platelet count had the default setting changed from "optional" to "preselected." The default settings for platelet count was later changed back to "optional," allowing for a natural experiment to study the effect of the default selections of an order set on clinician ordering habits. Results: Posttransfusion hematocrit values were ordered for 8.3% of red cell transfusions when the default order set selection was "off" and for 57.4% of transfusions when the default selection was "preselected" (P < 0.0001. Posttransfusion platelet counts were ordered for 7.0% of platelet transfusions when the initial default order set selection was "optional," increased to 59.4% when the default was changed to "preselected" (P < 0.0001, and then decreased to 7.5% when the default selection was returned to "optional." The posttransfusion platelet

  12. Kinetic Behavior of Exchange-Driven Growth with Catalyzed-Birth Processes

    Institute of Scientific and Technical Information of China (English)

    WANG Hai-Feng; LIN Zhen-Quan; KONG Xiang-Mu

    2006-01-01

    Two catalyzed-birth models of n-species (n≥2) aggregates with exchange-driven growth processes are proposed and compared. In the first one, the exchange reaction occurs between any two aggregates Amk and Amj of the same species with the rate kernels Km (k,j)=Kmkj (m=1, 2,..., n, n≥2), and aggregates of An species catalyze a monomer-birth of Al species (l=1,2,..., n-1) with the catalysis rate kernel Jl(k,j)=Jlkjυ. The kinetic behaviors are investigated by means of the mean-field theory. We find that the evolution behavior of aggregate-size distribution alk(t) of Al species depends crucially on the value of the catalysis rate parameter v: (i) alk(t) obeys the conventional scaling law in the case of υ≤0, (ii) alk (t) satisfies a modified scaling form in the case of υ>0. In the second model,the mechanism of monomer-birth of An-species catalyzed by Al species is added on the basis of the first model, that is,the aggregates of Al and An species catalyze each other to cause monomer-birth. The kinetic behaviors of Al and Anspecies are found to fall into two categories for the different υ: (i) growth obeying conventional scaling form with υ≤0,(ii) gelling at finite time withυ>0.

  13. Zika-Linked Birth Defects Surge in Colombia: CDC

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_162464.html Zika-Linked Birth Defects Surge in Colombia: CDC Study ... born with devastating birth defects linked to the Zika virus is no longer confined to Brazil, a ...

  14. How Do Health Care Providers Diagnose Birth Defects?

    Science.gov (United States)

    ... main types of prenatal tests for birth defects. Amniocentesis 1 Amniocentesis (pronounced am-nee-oh-sen-TEE-sis ) is ... Some birth defects that can be detected with amniocentesis are Down syndrome and certain types of muscular ...

  15. Prevalence and Predictors of Antibiotic Administration during Pregnancy and Birth

    DEFF Research Database (Denmark)

    Stokholm, Jakob; Schjørring, Susanne; Pedersen, Louise

    2013-01-01

    Antibiotic treatment during pregnancy and birth is very common. In this study, we describe the estimated prevalence of antibiotic administration during pregnancy and birth in the COPSAC2010 pregnancy cohort, and analyze dependence on social and lifestyle-related factors....

  16. Training traditional birth attendants to use misoprostol and an absorbent delivery mat in home births.

    Science.gov (United States)

    Prata, Ndola; Quaiyum, Md Abdul; Passano, Paige; Bell, Suzanne; Bohl, Daniel D; Hossain, Shahed; Azmi, Ashrafi Jahan; Begum, Mohsina

    2012-12-01

    A 50-fold disparity in maternal mortality exists between high- and low-income countries, and in most contexts, the single most common cause of maternal death is postpartum hemorrhage (PPH). In Bangladesh, as in many other low-income countries, the majority of deliveries are conducted at home by traditional birth attendants (TBAs) or family members. In the absence of skilled birth attendants, training TBAs in the use of misoprostol and an absorbent delivery mat to measure postpartum blood loss may strengthen the ability of TBAs to manage PPH. These complementary interventions were tested in operations research among 77,337 home births in rural Bangladesh. The purpose of this study was to evaluate TBAs' knowledge acquisition, knowledge retention, and changes in attitudes and practices related to PPH management in home births after undergoing training on the use of misoprostol and the blood collection delivery mat. We conclude that the training was highly effective and that the two interventions were safely and correctly used by TBAs at home births. Data on TBA practices indicate adherence to protocol, and 18 months after the interventions were implemented, TBA knowledge retention remained high. This program strengthens the case for community-based use of misoprostol and warrants consideration of this intervention as a potential model for scale-up in settings where complete coverage of skilled birth attendants (SBAs) remains a distant goal.

  17. Parental mental illness and fatal birth defects in a national birth cohort

    DEFF Research Database (Denmark)

    Webb, Roger; Pickles, A.R.; King-Hele, Sarah

    2007-01-01

    BACKGROUND: Few large studies describe links between maternal mental illness and risk of major birth defect in offspring. Evidence is sparser still for how effects vary between maternal diagnoses and no previous study has assessed risk with paternal illnesses.MethodA population-based birth cohort...... genetic effects directly linked with maternal illness, lifestyle factors (diet, smoking, alcohol and drugs), poor antenatal care, psychotropic medication toxicity, and gene-environment interactions. Further research is needed to elucidate the causal mechanisms......BACKGROUND: Few large studies describe links between maternal mental illness and risk of major birth defect in offspring. Evidence is sparser still for how effects vary between maternal diagnoses and no previous study has assessed risk with paternal illnesses.MethodA population-based birth cohort...... was created by linking Danish national registers. We identified all singleton live births during 1973-1998 (n=1.45 m), all parental psychiatric admissions from 1969 onwards, and all fatal birth defects until 1 January 1999. Linkage and case ascertainment were almost complete. Relative risks were estimated...

  18. The influence of rearing order on personality development within two adoption cohorts.

    Science.gov (United States)

    Beer, J M; Horn, J M

    2000-08-01

    There is an extensive literature on the relationship between birth order and psychological traits, but no previous study has investigated the influence of ordinal position on personality development within adoptive siblings. Such a design is important because it effectively separates the effects of biological birth order and rearing order. Here we report data from two adoption cohorts in which subjects were biological first-borns reared in various ordinal positions. Data were analyzed with reference to Sulloway's (1996) evolutionarily based sibling rivalry theory of birth order effects. Between- and within-family analyses indicated that rearing order's influence on personality was very weak. The only clear difference was for conscientiousness, on which first-reared siblings scored higher. We draw possible implications for Sulloway's theory and speculate upon an alternative, prenatal biological process that may produce birth order differences.

  19. Magnetic order in ?

    Science.gov (United States)

    Crook, M. R.; Coles, B. R.; Ritter, C.; Cywinski, R.

    1996-10-01

    Neutron powder diffraction has been used to study the evolution of magnetic order with increasing Zr substitution in the C14 Laves phase compounds 0953-8984/8/41/022/img8. For compounds with x = 0.3 and x = 0.4 we find a simple antiferromagnetic structure, similar to that reported for isostructural 0953-8984/8/41/022/img9. In this structure the Fe moments at the 6h sites are aligned along the c-axis, ferromagnetically coupled within the a - b plane, with adjacent planes antiferromagnetically coupled. This spin structure results in a cancellation of the molecular field at the interplanar 2a sites, and the Fe atoms at these sites carry no ordered moment. The neutron diffraction measurements on 0953-8984/8/41/022/img10 compounds in the composition range 0953-8984/8/41/022/img11 provide evidence of a low-temperature spin-canted structure in which the antiferromagnetic structure described above is modified by the appearance of a basal-plane ferromagnetic component which in turn leads to a small ordered Fe moment at the 2a site. The temperature dependence of the staggered magnetization in the antiferromagnetic state of the x = 0.4 compounds is found to closely follow the form 0953-8984/8/41/022/img12, as predicted for weak itinerant antiferromagnets by SCR spin-fluctuation theory.

  20. Emergency contraception – a neglected option for birth control

    Directory of Open Access Journals (Sweden)

    Eka R. Gunardi

    2013-12-01

    Full Text Available Emergency contraception (EC is any method of contraception which is used after intercourse and before the potential time of implantation, in order to prevent pregnancy after an unprotected or inadequately protected sexual intercourse, or cases of rape. Use of emergency contraception could halve the number of unintended pregnancies and the consequent need for abortion, but unfortunately many medical professionals and the public are not aware of it. Two methods are available for emergency contraception, namely emergency contraception pills (ECPs and copper-bearing intrauterine devices (Cu-IUDs. There are two regimens of ECP, the levonorgestrel regimen and combined regimen. The levonorgestrel regimen is preferred as it is more effective and causes less side effects. ECPs should be administered as soon as possible after unprotected or inadequately protected sex, being most effective if initiated within 24 hours. Cu-IUDs can be inserted up to 5 days after unprotected sexual intercourse. Emergency contraception mainly works by preventing fertilization, and does not interrupt and established pregnancy. Emergency contraception is very safe, therefore can be offered to women who have had unprotected intercourse and wish to prevent pregnancy. It must only be used as a backup method of birth control. (Med J Indones. 2013;22:248-52. doi: 10.13181/mji.v22i4.609Keywords: Birth control, copper-IUD, emergency contraception, emergency contraceptive pills, levonorgestrel

  1. Mismatch between birth date and vegetation phenology slows the demography of roe deer.

    Science.gov (United States)

    Plard, Floriane; Gaillard, Jean-Michel; Coulson, Tim; Hewison, A J Mark; Delorme, Daniel; Warnant, Claude; Bonenfant, Christophe

    2014-04-01

    Marked impacts of climate change on biodiversity have frequently been demonstrated, including temperature-related shifts in phenology and life-history traits. One potential major impact of climate change is the modification of synchronization between the phenology of different trophic levels. High phenotypic plasticity in laying date has allowed many bird species to track the increasingly early springs resulting from recent environmental change, but although changes in the timing of reproduction have been well studied in birds, these questions have only recently been addressed in mammals. To track peak resource availability, large herbivores like roe deer, with a widespread distribution across Europe, should also modify their life-history schedule in response to changes in vegetation phenology over time. In this study, we analysed the influence of climate change on the timing of roe deer births and the consequences for population demography and individual fitness. Our study provides a rare quantification of the demographic costs associated with the failure of a species to modify its phenology in response to a changing world. Given these fitness costs, the lack of response of roe deer birth dates to match the increasingly earlier onset of spring is in stark contrast with the marked phenotypic responses to climate change reported in many other mammals. We suggest that the lack of phenotypic plasticity in birth timing in roe deer is linked to its inability to track environmental cues of variation in resource availability for the timing of parturition.

  2. Radiodiagnosis of pelvic birth injuries and their consequences

    Energy Technology Data Exchange (ETDEWEB)

    Konycheva, E.A.; Loskutova, L.A. (Bashkirskij Meditsinskij Inst. (USSR))

    A study was made of the changes in the pelvic articulations in women with birth injuries 2-5 years following birth on the basis of the clinicoroentgenological findings. Pathological adhesion of birth injuries of the pelvic bones, that manifested itself in the formation of callus and arthrosis of the public and sacroiliac articulations, was noted. The study confirmed incomplete rehabilitation in this group of women. For prognosis of subsequent parturition roentgenopelvimetry is recommended for women with birth injuries of the pelvic girdle.

  3. Beating Birth Defects (A Cup of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2013-01-17

    Each year in the U.S., one in 33 babies is affected by a major birth defect. Women can greatly improve their chances of giving birth to a healthy baby by avoiding some of the risk factors for birth defects before and during pregnancy. In this podcast, Dr. Stuart Shapira discusses ways to improve the chances of giving birth to a healthy baby.  Created: 1/17/2013 by MMWR.   Date Released: 1/17/2013.

  4. Planned Home Births in Iceland: Premise, Outcome, and Influential Factors

    OpenAIRE

    Berglind Hálfdánsdóttir 1973

    2016-01-01

    Background: Hospitalization of childbirth in Iceland in the 20th century reduced home birth rates to less than 0.1% in 1990. Icelandic home birth rates have risen rapidly in the new millennium and were 2.2% in 2014. Recent studies in other Western countries have consistently shown lower rates of interventions and maternal morbidity in planned home births than in planned hospital births, while neonatal outcomes are dissimilar in different countries. These study results have been met with scept...

  5. Effect of maternal nutritional status on the birth weight among women of tea tribe in Dibrugarh district

    Directory of Open Access Journals (Sweden)

    Gogoi Gourangie

    2007-01-01

    Full Text Available Research Question: What is the influence of maternal nutritional status during pregnancy on the birth weight? Objective: To assess the effect of maternal nutritional status during pregnancy on the birth weight of the baby among tea tribe women in Dibrugarh district. Study Design: Field-based cohort study. Setting: Five tea estates in Dibrugarh District, Assam. Period of Study: One year (April 1998 to April 1999. Participants: A cohort of non-pregnant currently married tea garden women of reproductive age group (15-44 years from similar socio-economic background. Materials and Methods: Oral questionnaire for age, family structure, obstetric history, annual income, and period of gestation. Anthropometric measurements of weight and height were recorded using bathroom scales and the anthropometric rod. Measurements of weight were repeated during the first, second, and third trimesters of pregnancy. Birth weight of the baby was recorded at delivery, irrespective of the period of gestation and mode of delivery. Statistical Analysis: Correlation co-efficient, standard deviation, and regression analysis. Results and Conclusions: Of all, 88% mothers had pre-pregnant weight of < 45 kg, and 61% babies had birth weight < 2500 gm. Subjects with better pre-pregnant weight had corresponding favorable total weight gain, resulting in better birth weight of the babies. Pre-pregnant weight had direct positive linear relationship with the birth weight. There is a need to improve the nutritional status of the adolescent girl in order to build up her pre-pregnant weight for a favorable birth weight.

  6. Extension of the preceding birth technique.

    Science.gov (United States)

    Aguirre, A

    1994-01-01

    The Brass-inspired Preceding Birth Technique (PBT), is an indirect estimation technique with low costs of administration. PBT involves asking women at a time close to delivery about the survival of the preceding births. The proportion dead is close to the probability of dying between the birth and the second birthday or an index of early childhood mortality (II or Q). Brass and Macrae have determined that II is an estimate of mortality between birth and an age lower than the birth interval or around 4/5 of the birth interval. Hospital and clinic data are likely to include a concentration of women with lower risks of disease because of higher educational levels and socioeconomic status. A simulation of PBT data from the World Fertility Survey for Mexico and Peru found that the proportions of previously dead children were 0.156 in Peru and 0.092 in Mexican home deliveries. Maternity clinic proportions were 0.088 in Peru and 0.066 in Mexico. Use of clinic and hospital data collection underestimated mortality by 32% in Peru and 15% in Mexico. Another alternative was proposed: interviewing women at some other time than delivery. If the interview was during a child/infant intervention after delivery, the subsample would still be subject to a bias, but this problem could be overcome by computing the weighted average of the actual probability of the older child being dead and the conditional probability of the younger child being dead or both younger and older children being dead. Correction factors could be applied using the general standard of the logit life table system of Brass. Calculation of a simple average of the ages of the younger children could provide enough information to help decide which tables to use. Five surveys were selected for testing the factors of dependence between probabilities of death of successive siblings: Bangladesh, Lesotho, Kenya, Ghana, and Guyana. Higher mortality was related to lower dependency factors between the probabilities of death

  7. Higher-Order Fertility among Urban Fathers: An Overlooked Issue for a Neglected Population

    Science.gov (United States)

    Bronte-Tinkew, Jacinta; Ryan, Suzanne; Franzetta, Kerry; Manlove, Jennifer; Lilja, Emily

    2009-01-01

    The study includes a longitudinal sample of 1,989 fathers from the Fragile Families and Child Wellbeing study and examines factors associated with fathering a higher-order birth (three or more children) and compares these factors to those predicting any subsequent birth. Also, the article examines differences by marital status. Logistic regression…

  8. 29 CFR 825.120 - Leave for pregnancy or birth.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Leave for pregnancy or birth. 825.120 Section 825.120 Labor... pregnancy or birth. (a) General rules. Eligible employees are entitled to FMLA leave for pregnancy or birth... condition. Note, too, that many State pregnancy disability laws specify a period of disability either...

  9. Formative Evaluation of a University Birth Control Education Program.

    Science.gov (United States)

    Huettman, Julie K. Doidge; Sarvela, Paul D.

    1992-01-01

    A university birth control education program was created to improve student knowledge, attitudes, and behaviors. Students attended a birth control class before visiting the health clinic for prescriptions. Pre- and posttest questionnaires and clinician assessments indicated knowledge of birth control improved significantly, and students became…

  10. Preterm Birth: An Overview of Risk Factors and Obstetrical Management

    Science.gov (United States)

    Stewart, Amanda; Graham, Ernest

    2010-01-01

    Preterm birth is the leading cause of neonatal mortality and a major public health concern. Risk factors for preterm birth include a history of preterm birth, short cervix, infection, short interpregnancy interval, smoking, and African-American race. The use of progesterone therapy to treat mothers at risk for preterm delivery is becoming more…

  11. Maternal occupation during pregnancy, birth weight, and length of gestation

    DEFF Research Database (Denmark)

    Casas, Maribel; Cordier, Sylvaine; Martínez, David

    2015-01-01

    OBJECTIVES: We assessed whether maternal employment during pregnancy - overall and in selected occupational sectors - is associated with birth weight, small for gestational age (SGA), term low birth weight (LBW), length of gestation, and preterm delivery in a population-based birth cohort design....

  12. CALF CIRCUMFERENCE AT BIRTH: A SCREENING METHOD FOR DETECTION OF LOW BIRTH WEIGHT

    Directory of Open Access Journals (Sweden)

    Sandip Kumar

    2013-01-01

    Full Text Available Background: Low Birth Weight (LBW babies run a higher risk of morbidity and mortality in the perinatal period. However, in our country where almost 70-80% births take place at home and peripheral hospitals, taking accurate weight is a problem due to unavailability of weighing scale and trained personnel. Hence there is a constant search for newer methods to detect LBW babies so that early interventions can be instituted. Various authors have used different surrogate anthropometric measurements from different parts of our country. In the present study, an attempt was made to validate the feasibility of using calf circumference as a predictor of LBW babies that can be used by a trained or untrained person. Objectives: To study various anthropometric measurements including calf circumference in newborns and to correlate various measurements with birth weight. Methods: The present study was conducted in the department of Social & Preventive Medicine, MLB Medical College, Jhansi (UP for a period of one year. The study included 1100 consecutively delivered neonates in the maternity ward of MLB Medical College Hospital, Jhansi (UP. The birth weight (Wt, crown heel length (CHL, crown rump length (CRL, head circumference (HC, chest circumference (CC, mid arm circumference (MAC, thigh circumference (TC and calf circumference (CC by standard techniques. All the measurements were taken by a single person throughout the study period with in 24 hours of delivery. Standard statistical methods were adopted for determination of critical limit, sensitivity, specificity and correlation coefficient of different anthropometric measurements in relation to birth weight. Results: Analysis of data indicates that out of 1100 newborns, 55.64% were low birth weight. The percentage of newborns > 2500gm was 44.36. Overall average birth weight was 2348 ± 505gm. Out of 1100 newborns, 608 (55.27% were males and 492 (44.73% were females. Average birth weight for males was 2412

  13. Cluster analysis of spontaneous preterm birth phenotypes identifies potential associations among preterm birth mechanisms

    Science.gov (United States)

    Esplin, M Sean; Manuck, Tracy A.; Varner, Michael W.; Christensen, Bryce; Biggio, Joseph; Bukowski, Radek; Parry, Samuel; Zhang, Heping; Huang, Hao; Andrews, William; Saade, George; Sadovsky, Yoel; Reddy, Uma M.; Ilekis, John

    2015-01-01

    Objective We sought to employ an innovative tool based on common biological pathways to identify specific phenotypes among women with spontaneous preterm birth (SPTB), in order to enhance investigators' ability to identify to highlight common mechanisms and underlying genetic factors responsible for SPTB. Study Design A secondary analysis of a prospective case-control multicenter study of SPTB. All cases delivered a preterm singleton at SPTB ≤34.0 weeks gestation. Each woman was assessed for the presence of underlying SPTB etiologies. A hierarchical cluster analysis was used to identify groups of women with homogeneous phenotypic profiles. One of the phenotypic clusters was selected for candidate gene association analysis using VEGAS software. Results 1028 women with SPTB were assigned phenotypes. Hierarchical clustering of the phenotypes revealed five major clusters. Cluster 1 (N=445) was characterized by maternal stress, cluster 2 (N=294) by premature membrane rupture, cluster 3 (N=120) by familial factors, and cluster 4 (N=63) by maternal comorbidities. Cluster 5 (N=106) was multifactorial, characterized by infection (INF), decidual hemorrhage (DH) and placental dysfunction (PD). These three phenotypes were highly correlated by Chi-square analysis [PD and DH (p<2.2e-6); PD and INF (p=6.2e-10); INF and DH (p=0.0036)]. Gene-based testing identified the INS (insulin) gene as significantly associated with cluster 3 of SPTB. Conclusion We identified 5 major clusters of SPTB based on a phenotype tool and hierarchal clustering. There was significant correlation between several of the phenotypes. The INS gene was associated with familial factors underlying SPTB. PMID:26070700

  14. Helping mothers survive bleeding after birth

    DEFF Research Database (Denmark)

    Nelissen, Ellen; Ersdal, Hege; Ostergaard, Doris

    2014-01-01

    OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants, and ambul......OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants...... and feasible, although more time should be allocated for training, and teaching materials should be translated into the local language. Knowledge, skills, and confidence of learners increased significantly immediately after training. However, overall pass rates for skills tests of learners after training were...

  15. Dietary patterns in pregnancy and birth weight

    Directory of Open Access Journals (Sweden)

    Natália de Lima Pereira Coelho

    2015-01-01

    Full Text Available OBJECTIVE To analyze if dietary patterns during the third gestational trimester are associated with birth weight.METHODS Longitudinal study conducted in the cities of Petropolis and Queimados, Rio de Janeiro (RJ, Southeastern Brazil, between 2007 and 2008. We analyzed data from the first and second follow-up wave of a prospective cohort. Food consumption of 1,298 pregnant women was assessed using a semi-quantitative questionnaire about food frequency. Dietary patterns were obtained by exploratory factor analysis, using the Varimax rotation method. We also applied the multivariate linear regression model to estimate the association between food consumption patterns and birth weight.RESULTS Four patterns of consumption – which explain 36.4% of the variability – were identified and divided as follows: (1 prudent pattern (milk, yogurt, cheese, fruit and fresh-fruit juice, cracker, and chicken/beef/fish/liver, which explained 14.9% of the consumption; (2 traditional pattern, consisting of beans, rice, vegetables, breads, butter/margarine and sugar, which explained 8.8% of the variation in consumption; (3 Western pattern (potato/cassava/yams, macaroni, flour/farofa/grits, pizza/hamburger/deep fried pastries, soft drinks/cool drinks and pork/sausages/egg, which accounts for 6.9% of the variance; and (4 snack pattern (sandwich cookie, salty snacks, chocolate, and chocolate drink mix, which explains 5.7% of the consumption variability. The snack dietary pattern was positively associated with birth weight (β = 56.64; p = 0.04 in pregnant adolescents.CONCLUSIONS For pregnant adolescents, the greater the adherence to snack pattern during pregnancy, the greater the baby’s birth weight.

  16. Remembering Coyolxauhqui as a Birthing Text

    OpenAIRE

    Luna, Jennie; Galeana, Martha

    2016-01-01

    This article examines several interpretations of the stone image of Coyolxauhqui: 1) the Early Academic interpretation established by anthropologists; 2) the Xicana Feminist interpretation; and 3) a Partera/Midwife perspective which re-envisions Coyolxauhqui as a birthing diagram or guide for women in labor. Historically, Coyolxauhqui has been referred to as the “dis-membered woman” and used as evidence of the victimization of women in Mesoameri- can society. This article challenges t...

  17. Induced vaginal birth after previous caesarean section

    Directory of Open Access Journals (Sweden)

    Akylbek Tussupkaliyev

    2016-11-01

    Full Text Available Introduction The rate of operative birth by Caesarean section is constantly rising. In Kazakhstan, it reaches 27 per cent. Research data confirm that the percentage of successful vaginal births after previous Caesarean section is 50–70 per cent. How safe the induction of vaginal birth after Caesarean (VBAC remains unclear. Methodology The studied techniques of labour induction were amniotomy of the foetal bladder with the vulsellum ramus, intravaginal administration of E1 prostaglandin (Misoprostol, and intravenous infusion of Oxytocin-Richter. The assessment of rediness of parturient canals was conducted by Bishop’s score; the labour course was assessed by a partogram. The effectiveness of labour induction techniques was assessed by the number of administered doses, the time of onset of regular labour, the course of labour and the postpartum period and the presence of complications, and the course of the early neonatal period, which implied the assessment of the child’s condition, described in the newborn development record. The foetus was assessed by medical ultrasound and antenatal and intranatal cardiotocography (CTG. Obtained results were analysed with SAS statistical processing software. Results The overall percentage of successful births with intravaginal administration of Misoprostol was 93 per cent (83 of cases. This percentage was higher than in the amniotomy group (relative risk (RR 11.7 and was similar to the oxytocin group (RR 0.83. Amniotomy was effective in 54 per cent (39 of cases, when it induced regular labour. Intravenous oxytocin infusion was effective in 94 per cent (89 of cases. This percentage was higher than that with amniotomy (RR 12.5. Conclusions The success of vaginal delivery after previous Caesarean section can be achieved in almost 70 per cent of cases. At that, labour induction does not decrease this indicator and remains within population boundaries.

  18. Refractive status at birth: its relation to newborn physical parameters at birth and gestational age.

    Directory of Open Access Journals (Sweden)

    Raji Mathew Varghese

    Full Text Available BACKGROUND: Refractive status at birth is related to gestational age. Preterm babies have myopia which decreases as gestational age increases and term babies are known to be hypermetropic. This study looked at the correlation of refractive status with birth weight in term and preterm babies, and with physical indicators of intra-uterine growth such as the head circumference and length of the baby at birth. METHODS: All babies delivered at St. Stephens Hospital and admitted in the nursery were eligible for the study. Refraction was performed within the first week of life. 0.8% tropicamide with 0.5% phenylephrine was used to achieve cycloplegia and paralysis of accommodation. 599 newborn babies participated in the study. Data pertaining to the right eye is utilized for all the analyses except that for anisometropia where the two eyes were compared. Growth parameters were measured soon after birth. Simple linear regression analysis was performed to see the association of refractive status, (mean spherical equivalent (MSE, astigmatism and anisometropia with each of the study variables, namely gestation, length, weight and head circumference. Subsequently, multiple linear regression was carried out to identify the independent predictors for each of the outcome parameters. RESULTS: Simple linear regression showed a significant relation between all 4 study variables and refractive error but in multiple regression only gestational age and weight were related to refractive error. The partial correlation of weight with MSE adjusted for gestation was 0.28 and that of gestation with MSE adjusted for weight was 0.10. Birth weight had a higher correlation to MSE than gestational age. CONCLUSION: This is the first study to look at refractive error against all these growth parameters, in preterm and term babies at birth. It would appear from this study that birth weight rather than gestation should be used as criteria for screening for refractive error

  19. Offspring preterm birth and birth size are related to long-term risk of maternal diabetes.

    Science.gov (United States)

    Naver, Klara Vinsand; Secher, Niels Jørgen; Ovesen, Per Glud; Gorst-Rasmussen, Anders; Lundbye-Christensen, Søren; Nilas, Lisbeth

    2013-05-01

    The aim of the study is to investigate the association between gestational age, birth size, and the long-term risk of maternal diabetes. We conducted a nation-wide prospective follow-up study of the cohort of all Danish women with a singleton delivery in 1982/1983 (index delivery) and no history of diabetes (n = 100,669). Registries were used to extract information on patients with a hospital or outpatient diagnosis of diabetes, subsequent deliveries, and death/emigration in the period from the index delivery until the end of 2006. The association between the maternal risk of diabetes and the index gestational age and index offspring birth size (birth weight adjusted for gestational age) was investigated by using Cox proportional hazards regression models stratified according to young (≤33 years) and old age (>33 years). During a median follow-up period of 24 years, 2,021 women (2.0 %) were diagnosed as having diabetes. The risk of maternal diabetes was positively associated with increasing index birth size and negatively associated with increasing duration of index gestation in both age strata. Among young women, the highest hazard ratios were found for the exposure category of large index offspring birth size (adjusted HR 9.0, 95 % CI 6.17-13.12) and a preterm delivery at 32-37 weeks (adjusted HR 2.22, 95 % CI 1.46-3.40). Offspring preterm birth and large size for gestational age at birth are associated with increased risk of maternal diabetes.

  20. On Variation of Single Birth Processes

    Institute of Scientific and Technical Information of China (English)

    Jun-ping Li

    2006-01-01

    Suppose {X(t); t≥0} is a single birth process with birth rate qii+1 (i≥0) and death rate qij (i >j≥ 0). It is proved in this paper that (i) if there exists a constant c ≥ 0 such that b(i) - a(i) + ci is nondecreasing with respect to i and a(i) + u(i) - ci ≥ 0 (i ≥ 0), then VarX(t) - EX(t)≥-X(0)e-2ct, t ≥ 0,or (ii) if there exists a constant c ≥ 0 such that b(i) - a(i) + ci is non-increasing with respect to i and a(i)+u(i) - ci ≤ 0 (i ≥ 0), then VarX(t) - EX(t)≤-X(0)e-2ct, t ≥ 0.Here b(i) = qii+1, a(0) =0, a(i) =i∑j=1qii-j (i≥1), u(0) =u(1) =0 and u(i)=1/2i∑j=2j(j - 1)qii-j (i ≥ 2).This result covers the results for birth-death processes obtained in [7].

  1. Premature birth: An Enigma for the Society?

    Directory of Open Access Journals (Sweden)

    Sribas Goswami

    2014-12-01

    Full Text Available Infants born preterm are at greater risk than infants born at term for mortality and a variety of health and developmental problems. Complications include acute respiratory, gastrointestinal, immunologic, central nervous system, hearing, and vision problems, as well as longer-term motor, cognitive, visual, hearing, behavioral, social-emotional, health, and growth problems. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. The greatest risk of mortality and morbidity is for those infants born at the earliest gestational ages. However, those infants born nearer to term represent the greatest number of infants born preterm and also experience more complications than infants born at term. Preterm birth is a complex cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, neighborhood characteristics, environmental exposures, medical conditions, infertility treatments, biological factors and genetics. Many of these factors occur in combination, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. The empirical investigation was carried out to draw correlation between preterm birth and eventuality. This paper deals with various issues related to the premature deliveries from socio-biological perspectives.

  2. Impact of Birth Preparedness and Complication Readiness Interventions on Birth with a Skilled Attendant : A Systematic Review

    NARCIS (Netherlands)

    Miltenburg, Andrea Solnes; Roggeveen, Yadira; Shields, Laura; van Elteren, Marianne; van Roosmalen, Jos; Stekelenburg, Jelle; Portela, Anayda

    2015-01-01

    Background Increased preparedness for birth and complications is an essential part of antenatal care and has the potential to increase birth with a skilled attendant. We conducted a systematic review of studies to assess the effect of birth preparedness and complication readiness interventions on in

  3. A comparison of labour and birth experiences of women delivering in a birthing centre and at home in the Netherlands.

    NARCIS (Netherlands)

    Borquez, H.A.; Wiegers, T.A.

    2006-01-01

    OBJECTIVE: to compare the labour and birth experiences of women who delivered at home without complications with the experiences of women who delivered in a birth centre without complications. DESIGN: a descriptive study using postal questionnaires at 1-6 months after birth of a consecutive sample o

  4. Bone Mineral Density and Osteoporosis after Preterm Birth: The Role of Early Life Factors and Nutrition

    Directory of Open Access Journals (Sweden)

    Claire L. Wood

    2013-01-01

    Full Text Available The effects of preterm birth and perinatal events on bone health in later life remain largely unknown. Bone mineral density (BMD and osteoporosis risk may be programmed by early life factors. We summarise the existing literature relating to the effects of prematurity on adult BMD and the Developmental Origins of Health and Disease hypothesis and programming of bone growth. Metabolic bone disease of prematurity and the influence of epigenetics on bone metabolism are discussed and current evidence regarding the effects of breastfeeding and aluminium exposure on bone metabolism is summarised. This review highlights the need for further research into modifiable early life factors and their effect on long-term bone health after preterm birth.

  5. Projecting Month of Birth for At-Risk Infants after Zika Virus Disease Outbreaks.

    Science.gov (United States)

    Reefhuis, Jennita; Gilboa, Suzanne M; Johansson, Michael A; Valencia, Diana; Simeone, Regina M; Hills, Susan L; Polen, Kara; Jamieson, Denise J; Petersen, Lyle R; Honein, Margaret A

    2016-05-01

    The marked increase in infants born with microcephaly in Brazil after a 2015 outbreak of Zika virus (Zika virus) disease suggests an association between maternal Zika virus infection and congenital microcephaly. To project the timing of delivery of infants born to mothers infected during early pregnancy in 1 city in Bahia State, Brazil, we incorporated data on reported Zika virus disease cases and microcephaly cases into a graphical schematic of weekly birth cohorts. We projected that these births would occur through February 2016. Applying similar projections to a hypothetical location at which Zika virus transmission started in November, we projected that full-term infants at risk for Zika virus infection would be born during April-September 2016. We also developed a modifiable spreadsheet tool that public health officials and researchers can use for their countries to plan for deliveries of infants to women who were infected with Zika virus during different pregnancy trimesters.

  6. ["I swear on Apollus Medicus...": the birth of medical deontology].

    Science.gov (United States)

    Ceccobelli, Sandro

    2011-01-01

    In the Oath, Hippocrates does not cite Dionisus at all. In Greek mythology, Apollus and Dionisus are, in some way, absolutely conflicting gods, nonetheless complementary each to the other; both are devoted to healing practices, one through his téchne founded on scientific knowledge, the other throught collective cathartic processes. The author conjectures that the exclusion of Dionisus from the medical Hippocratic scene means the birth of a medical deontology founded on the contrast between profecy and extasis, knowledge and happiness, order and change, health and disease. Balancing these cultural different aspects of therapy and cure, Bioethics could reunify the concepts of health, sickness and disease in the idea of Life, continuosly changing and developing. The curing process needs synthesis--invoking Apollus to rescover Dionisus mask.

  7. Transition to skilled birth attendance: is there a future role for trained traditional birth attendants?

    Science.gov (United States)

    Sibley, Lynn M; Sipe, Theresa Ann

    2006-12-01

    A brief history of training of traditional birth attendants (TBAs), summary of evidence for effectiveness of TBA training, and consideration of the future role of trained TBAs in an environment that emphasizes transition to skilled birth attendance are provided. Evidence of the effectiveness of TBA training, based on 60 studies and standard meta-analytic procedures, includes moderate-to-large improvements in behaviours of TBAs relating to selected intrapartum and postnatal care practices, small significant increases in women's use of antenatal care and emergency obstetric care, and small significant decreases in perinatal mortality and neonatal mortality due to birth asphyxia and pneumonia. Such findings are consistent with the historical focus of TBA training on extending the reach of primary healthcare and a few programmes that have included home-based management of complications of births and the newborns, such as birth asphyxia and pneumonia. Evidence suggests that, in settings characterized by high mortality and weak health systems, trained TBAs can contribute to the Millennium Development Goal 4--a two-thirds reduction in the rate of mortality of children aged less than 14 years by 2015--through participation in key evidence-based interventions.

  8. Delivery practices of traditional birth attendants in Dhaka slums, Bangladesh.

    Science.gov (United States)

    Fronczak, N; Arifeen, S E; Moran, A C; Caulfield, L E; Baqui, A H

    2007-12-01

    This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 home-based birth attendants, and audits in 20 facilities where the women from this study gave birth. Associations among maternal characteristics, birth practices, delivery-location, and early postpartum morbidity were specifically explored. Self-reported postpartum morbidity was associated with maternal characteristics, delivery-related complications, and some birthing practices. Dais with more experience were more likely to use potentially-harmful birthing practices which increased the risk of postpartum morbidity among women with births at home. Postpartum morbidity did not differ by birth-location. Safe motherhood programmes must develop effective strategies to discourage potentially-harmful home-based delivery practices demonstrated to contribute to morbidity.

  9. Increasing institutional deliveries among antenatal clients: effect of birth preparedness counselling.

    Science.gov (United States)

    Soubeiga, Dieudonné; Sia, Drissa; Gauvin, Lise

    2014-12-01

    The World Health Organization recommends birth and emergency preparedness (BEP) as essential components of the Focused Antenatal Care model. The purpose of providing BEP messages to women during their antenatal visits is to increase the use of skilled attendance at childbirth. However, the effectiveness of this component has not yet been clearly established in routine contexts. This retrospective cohort study examined the association between exposing women to BEP messages during antenatal visits and the use of the skilled attendance at childbirth in two rural districts of Burkina Faso (Koupela and Dori). The study included 456 antenatal care users in 30 rural health centres in these two districts. Data were collected using modified questionnaires from the Johns Hopkins Program for International Education in Gynecology and Obstetrics and from demographic and health surveys. Logistic regression was performed with a model of generalized estimating equation to adjust for clustered effects. In the Koupela district, where the rate of institutional deliveries (80%) was relatively high, the use of BEP messages was not associated with an increase in institutional deliveries. In contrast, in the district of Dori, where the rate of institutional deliveries (47%) was lower, messages regarding danger signs [Adjusted Odds Ratio (AOR) = 1.93; 95% Confidence Interval (CI): 1.07, 3.49] and cost of care (AOR = 2.13; 95% CI: 1.09, 4.22) were associated with an increased probability of institutional births. Based on these results, it appears that birth and emergency preparedness messages provided during antenatal visits may increase the use of skilled attendance (increase the rate of institutional births) in areas where institutional births are low. Therefore, it is important to adapt the content of the messages to meet the particular needs of the users in each locality. Furthermore, BEP counselling should be implemented in health facilities.

  10. Impact of the Jamaican birth cohort study on maternal, child and adolescent health policy and practice.

    Science.gov (United States)

    McCaw-Binns, A; Ashley, D; Samms-Vaughan, M

    2010-01-01

    The Jamaica Perinatal Morbidity and Mortality Survey (JPMMS) was a national study designed to identify modifiable risk factors associated with poor maternal and perinatal outcome. Needing to better understand factors that promote or retard child development, behaviour and academic achievement, we conducted follow-up studies of the birth cohort. The paper describes the policy developments from the JPMMS and two follow-up rounds. The initial study (1986-87) documented 94% of all births and their outcomes on the island over 2 months (n = 10 508), and perinatal (n = 2175) and maternal deaths (n = 62) for a further 10 months. A subset of the birth cohort, identified by their date of birth through school records, was seen at ages 11-12 (n = 1715) and 15-16 years (n = 1563). Findings from the initial survey led to, inter alia, clinic-based screening for syphilis, referral high-risk clinics run by visiting obstetricians, and the redesign and construction of new labour wards at referral hospitals. The follow-up studies documented inadequate academic achievement among boys and children attending public schools, and associations between under- and over-nutrition, excessive television viewing (>20 h/week), inadequate parental supervision and behavioural problems. These contributed to the development of a television programming code for children, a National Parenting Policy, policies aimed at improving inter-sectoral services to children from birth to 5 years (Early Childhood Commission) and behavioural interventions of the Violence Prevention Alliance (an inter-sectoral NGO) and the Healthy Lifestyles project (Ministry of Health). Indigenous maternal and child health research provided a local evidence base that informed public policy. Collaboration, good communication, being vigilant to opportunities to influence policy, and patience has contributed to our success.

  11. Spatiotemporal Property Analysis of Birth Defects in Wuxi, China

    Institute of Scientific and Technical Information of China (English)

    JI-LEI WU; GONG CHEN; XIN-MING SONG; CHENG-FU LI; LEI ZHANG; LAN LIU; XIAO-YING ZHENG

    2008-01-01

    Objective To describe the temporal trends and spatial patterns of birth defects occurring in Wuxi, a developed region of China. Methods Wavelet analysis was used to decompose the temporal trends of birth defect prevalence based on the birth defect rates over the past 16 years. Birth defect cases with detailed personal and family information were geo-coded and the relative risk in each village was calculated. General G statistic was used to test the spatial property with different scales. Results Wavelet analysis showed an increasing temporal trend of birth defects in this region. Clustering analysis revealed that changes continued in the spatial patterns with different scales. Conclusion Wuxi is confronted with severe challenges to reduce birth defect prevalence. The risk factors are stable and show no change with spatial scale but an increasing temporal trend. Interventions should be focused on villages with a higher prevalence of birth defects.

  12. The BirthPlace collaborative practice model: results from the San Diego Birth Center Study.

    Science.gov (United States)

    Swartz; Jackson; Lang; Ecker; Ganiats; Dickinson; Nguyen

    1998-07-01

    Objective: The search for quality, cost-effective health care programs in the United States is now a major focus in the era of health care reform. New programs need to be evaluated as alternatives are developed in the health care system. The BirthPlace program provides comprehensive perinatal services with certified nurse-midwives and obstetricians working together in an integrated collaborative practice serving a primarily low-income population. Low-risk women are delivered by nurse-midwives in a freestanding birth center (The BirthPlace), which is one component of a larger integrated health network. All others are delivered by team obstetricians at the affiliated tertiary hospital. Wellness, preventive measures, early intervention, and family involvement are emphasized. The San Diego Birth Center Study is a 4-year research project funded by the U.S. Federal Agency for Health Care Policy and Research (#R01-HS07161) to evaluate this program. The National Birth Center Study (NEJM, 1989; 321(26): 1801-11) described the advantages and safety of freestanding birth centers. However, a prospective cohort study with a concurrent comparison group of comparable risk had not been conducted on a collaborative practice-freestanding birth center model to address questions of safety, cost, and patient satisfaction.Methods: The specific aims of this study are to compare this collaborative practice model to the traditional model of perinatal health care (physician providers and hospital delivery). A prospective cohort study comparing these two health care models was conducted with a final expected sample size of approximately 2,000 birth center and 1,350 traditional care subjects. Women were recruited from both the birth center and traditional care programs (private physicians offices and hospital based clinics) at the beginning of prenatal care and followed through the end of the perinatal period. Prenatal, intrapartum, postpartum and infant morbidity and mortality are being

  13. Offspring preterm birth and birth size are related to long-term risk of maternal diabetes

    DEFF Research Database (Denmark)

    Naver, Klara Vinsand; Secher, Niels Jørgen; Ovesen, Per Glud;

    2013-01-01

    of diabetes (n = 100,669). Registries were used to extract information on patients with a hospital or outpatient diagnosis of diabetes, subsequent deliveries, and death/emigration in the period from the index delivery until the end of 2006. The association between the maternal risk of diabetes and the index...... gestational age and index offspring birth size (birth weight adjusted for gestational age) was investigated by using Cox proportional hazards regression models stratified according to young (≤33 years) and old age (>33 years). During a median follow-up period of 24 years, 2,021 women (2.0 %) were diagnosed...... as having diabetes. The risk of maternal diabetes was positively associated with increasing index birth size and negatively associated with increasing duration of index gestation in both age strata. Among young women, the highest hazard ratios were found for the exposure category of large index offspring...

  14. Trends of preterm birth and low birth weight in Japan: a one hospital-based study

    Directory of Open Access Journals (Sweden)

    Yorifuji Takashi

    2012-12-01

    Full Text Available Abstract Background The proportions of preterm birth (PTB, ie., delivered before 37 gestational weeks and low birth weight (LBW, ie., birth weight less than 2500 g at delivery have been rising in developed countries. We sought to examine the factors contributing to the rise in Japan, with particular focus on the effects of obstetric interventions. Methods We used a database maintained by one large regional hospital in Shizuoka, Japan. We restricted the analysis to mothers who delivered live singleton births from 1997 to 2010 (n = 19,221. We assessed the temporal trends in PTB and LBW, then divided the study period into four intervals and compared the proportions of PTB and LBW. We also compared the newborns’ outcomes between the intervals. Results PTB, in particular medically indicated PTB, increased considerably. The increase was largely explained by changes in caesarean sections. The neonatal outcomes did not worsen, and instead the Apgar scores and proportions requiring neonatal intensive care unit (NICU admission improved. In particular, the risks of NICU admission in the interval from 2007 to 2010 were decreased among all births [odds ratio (OR: 0.84; 95% confidence interval (CI: 0.75, 0.95] and medically indicated births (OR: 0.44; 95% CI: 0.29, 0.68 compared with the interval from 1997 to 2000. Conclusions Despite the increases in PTB as well as LBW, the present study suggests benefits of obstetric interventions. Rather than simple categorization of PTB or LBW, indicators such as perinatal mortality or other outcomes may be more appropriate for evaluation of perinatal health in developed countries.

  15. Prenatal Phthalate, Perfluoroalkyl Acid, and Organochlorine Exposures and Term Birth Weight in Three Birth Cohorts

    DEFF Research Database (Denmark)

    Lenters, Virissa; Portengen, Lützen; Rignell-Hydbom, Anna

    2015-01-01

    BACKGROUND: Some legacy and emerging environmental contaminants are suspected risk factors for intrauterine growth restriction. However, the evidence is equivocal, in part due to difficulties in disentangling the effects of mixtures. OBJECTIVES: We assessed associations between multiple correlated....... These results warrant follow-up in other cohorts. CITATION: Lenters V, Portengen L, Rignell-Hydbom A, Jönsson BA, Lindh CH, Piersma AH, Toft G, Bonde JP, Heederik D, Rylander L, Vermeulen R. 2016. Prenatal phthalate, perfluoroalkyl acid, and organochlorine exposures and term birth weight in three birth cohorts...

  16. [Does shift work cause spontaneous abortion, preterm birth or low birth weight?].

    Science.gov (United States)

    Schlünssen, Vivi; Viskum, Sven; Omland, Øyvind; Bonde, Jens Peter

    2007-03-05

    In Denmark 30% of females in the reproductive age regularly have shift work. 22 epidemiological papers were studied looking at associations between shift work and abortion, stillbirth, preterm birth, and birth weight. No convincing associations were observed between rotating shift work or fixed nightshift and negative pregnancy outcome. Some epidemiological support was found for a relation between fixed nightshift and late abortions/stillbirth. If fixed night work for all pregnant women is avoided, seven late abortion/stillbirths a year can be prevented. Fixed night work for pregnant women should be avoided.

  17. Developmental Outcomes of Premature and Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Reza Saeidi

    2016-03-01

    Full Text Available Background: Prematurity is the most common cause of death and disability And Preterm infants, are prone to developmental complications. For this reason this study was designed for follow up of these babies until 2 years by modified DDST-2. Methods: This study was a prospective longitudinal descriptive study from March 2009 to March 2011 in clinic of sheikh and Imam Reza Hospitals, mashhad, Iran. Sample size with Confidence coefficient of 95% and power 80%, was determined 100 hundred babies. Infants were seen by a pediatrician at a follow up clinic at 1, 3, 6, 9,12,15,18, 24, months.The developmental assessment was done using Denver-2 Developmental Screening Test. Results: mean age for smiling was 4/6 ± 2/1  months which significantly differed with appropriate age (p = 0.000, mean age for telling two syllables words 11/7±  1/9 months, without significant difference of appropriate age.(p = 0.139. Average age for understanding NO was 10/4±  2/0 months that significantly differed with appropriate age(p = 0.000. The average age for telling 6 word was 17/8±  3/0, without significant difference with appropriate age (p = 0.510. Conclusion: Children with history of prematurity and low birth weight have more disability and developmental delay so they need to developmental screening tests.

  18. Exposure to environmental tobacco smoke and birth outcome: increased effects on pregnant women aged 30 years or older.

    Science.gov (United States)

    Ahluwalia, I B; Grummer-Strawn, L; Scanlon, K S

    1997-07-01

    The purposes of this study were to examine the association between self-reported environmental tobacco smoke (ETS) exposure during pregnancy and birth weight, prematurity, and small-for-gestational age infants and to determine whether these associations differ by maternal age. Data from the Pregnancy Nutrition Surveillance System from two states that collected data on both passive and active smoking for the period 1989-1994 were analyzed. ETS exposure was defined as reported exposure to the cigarette smoke of a household member. Multiple logistic and linear regression analyses were used to evaluate the association between ETS and birth outcomes. The mean adjusted birth weight among infants of nonsmoking mothers age 30 years or older was 90 g less among infants exposed to ETS than among infants not exposed. No significant association was found among infants of younger nonsmoking mothers. Similarly, the risks for low birth weight (adjusted odds ratio (OR) = 2.42, 95% confidence interval 1.51-3.87) and preterm delivery (adjusted OR = 1.88, 95% confidence interval 1.22-2.88) were elevated among older nonsmokers exposed to ETS, but not among younger nonsmokers exposed to ETS (adjusted OR = 0.97, 95% confidence interval 0.76-1.23; adjusted OR = 0.92, 95% confidence interval 0.76-1.13, for low birth weight and preterm delivery, respectively). These findings indicate that the association between ETS exposure and adverse pregnancy outcomes appears to be modified by maternal age.

  19. The influence of birth weight and body mass in early adulthood on early coronary heart disease risk among Danish men born in 1953.

    Science.gov (United States)

    Osler, Merete; Lund, Rikke; Kriegbaum, Margit; Andersen, Anne-Marie Nybo

    2009-01-01

    This study examines the joint and separate influence of birth weight and body mass in young adulthood on subsequent coronary heart disease (CHD) risk. A cohort of 9,143 men born in Copenhagen, Denmark, in 1953, for whom information on birth weight and body weight and height around age 19 years were retrieved from birth certificates and conscript records, respectively, were followed from 1978 until 2005 (between age 25 and 52 years) for incident fatal and non-fatal CHD. Data on CHD were obtained through record linkage to the Cause of Death Registry and the National Patient Registry. During follow-up, a total of 475 men had a CHD diagnosis. Men with low birth weight, high body mass index (BMI) at age 19, a father from the working class, and low educational level at age 19 had an increased risk for CHD. Birth weight was inversely associated with CHD only in men with BMI of 25 kg/m(2) or above. Adjustment for childhood social circumstances and educational status at age 19 had minor influence on the estimates. In conclusion, BMI in young adulthood seems to be strongly associated with the risk of CHD before age 52, and birth weight seem to modify the association. The risk estimates is highest for individuals with a combination of low birth weight and overweight in young adulthood.

  20. [Risk factors for low birth weight].

    Science.gov (United States)

    Bortman, M

    1998-05-01

    Low birthweight (LBW) is the main known determinant of infant mortality. In spite of the sharp decrease in infant mortality rates and of the rise in survival rates for children with LBW, no important decrease in LBW rates has been observed in Neuquen, Argentina. The purpose of this study was to try to understand the risk factors for LBW, the frequency of LBW in the population, and the role of prenatal care in its prevention, as well as to develop a risk factor scale that could be used to identify women at higher risk of giving birth to a child with LBW. With this in mind we performed a cross-sectional study based on 50% of the data entered into the Perinatal Information System for 1988-1995 by the 29 hospitals in Neuquen province (46,171 births). The distribution of birthweight and the frequency of potential risk factors for LBW were examined. The relationship between such factors and LBW was studied using a logistic regression model. On the basis of the results obtained, an additive scale was drawn up and validated with the remaining 50% of the data for registered births. The highest odds ratio (OR) was seen in women who had no prenatal care (OR = 8.78; 95%CI: 6.7 to 11.4). ORs for inadequate prenatal care, lateness in attending the first prenatal visit, preeclampsia or eclampsia, hemorrhage and anomalies of the placenta or placental membranes, and a history of a previous child with LBW were greater than 2.0. The risk of having children with LBW was also higher in women over the age of 40, women under 20, single women, smoking mothers, women with an intergenesic interval of less than 18 months, and women with a body mass index of less than 20. Finally, there was a direct linear relationship between points on the risk scale and the risk of having a LBW infant.